Provider Demographics
NPI:1265558704
Name:OWENS, ALMA (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ALMA
Middle Name:
Last Name:OWENS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CENTER FOR REHABILITATION MEDICINE
Mailing Address - Street 2:1441 CLIFTON ROAD
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-0001
Mailing Address - Country:US
Mailing Address - Phone:404-712-5565
Mailing Address - Fax:404-712-5974
Practice Address - Street 1:CENTER FOR REHABILITATION MEDICINE
Practice Address - Street 2:1441 CLIFTON ROAD
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-0001
Practice Address - Country:US
Practice Address - Phone:404-712-5565
Practice Address - Fax:404-712-5974
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA13235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA13OtherLICENSE