Provider Demographics
NPI:1942425335
Name:LAMB, SHEILA YVONNE (MS-CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:YVONNE
Last Name:LAMB
Suffix:
Gender:F
Credentials:MS-CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 LITTLE JOHN DR NW
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-6004
Mailing Address - Country:US
Mailing Address - Phone:770-923-5262
Mailing Address - Fax:
Practice Address - Street 1:1441 CLIFTON RD, NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322
Practice Address - Country:US
Practice Address - Phone:404-712-7249
Practice Address - Fax:404-712-5974
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA003354235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist