| Mrs Stacey Lyn Gothard, MED CCC-SLP | |
|
335 Nicklaus Cir, Social Circle, GA 30025-5344 | |
| (678) 625-4556 | |
| (678) 625-9638 |
| Full Name | Mrs Stacey Lyn Gothard |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 335 Nicklaus Cir, Social Circle, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023165479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP005346 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Stacey Lyn Gothard, MED CCC-SLP 335 Nicklaus Cir, Social Circle, GA 30025-5344 Ph: (678) 625-4556 | Mrs Stacey Lyn Gothard, MED CCC-SLP 335 Nicklaus Cir, Social Circle, GA 30025-5344 Ph: (678) 625-4556 |
Just For Kids Therapy Services, Inc. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 240 River Cove Rd, Social Circle, GA 30025 Phone: 404-831-7451 | |
Melanie Bartram, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 240 River Cove Rd, Social Circle, GA 30025 Phone: 404-831-7451 Fax: 770-787-2605 | |
Nancy Geis, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 240 River Cove Rd, Social Circle, GA 30025 Phone: 404-831-7451 Fax: 770-787-2605 |