National Provider Identifier Database

REVIVE ATHLETICS INC
Speech-Language Pathologist

A speech pathologist is a person qualified by a master?s degree in speech-language pathology, and where applicable, licensed by the state and practicing within the scope of the license. Also, known as speech therapist, a speech pathologist evaluates patients with language and speech impairments or disorders, whether arising from physiological and neurological disturbances, defective articulation or foreign dialects, and conducts remedial programs designed to restore or improve their communication efficacy. Speech pathologists assess and treat persons with speech, language, voice, and fluency disorders.


Contact Information

REVIVE ATHLETICS, INC
460 BOURNE DRIVE
SMYRNA, GA30082
Phone: 770-899-8187
Fax:
Website:
Specialty Taxonomy Code
* Speech-Language Pathologist 235Z00000X
Mental Health 101YM0800X

* Indicates primary specialty

NPI Profile & details for REVIVE ATHLETICS, INC

NPI Number 1487964193
Legal business name
LBN
REVIVE ATHLETICS, INC
Authorized official MATTHEW HARRELL - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 10/15/2010
Last updated 10/15/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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