Most Relevant Information
Provider Data
| NPI Number: | 1003381682 |
| Provider Name: | ARIEL NICOLE BASDEN M.S., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SLP010322 |
Most Important Dates
| Enumeration Date: | 10/10/2018 |
| Last Updated: | 03/21/2021 |
Provider Practice Location
6035 PEACHTREE RD STE C120
DORAVILLE
GA
303603234
Practice Location Phone/Fax
| Phone: | 3270678514 |
| Fax: |
Provider Mailing Location
1355 EUCLID AVE NE APT 6A
ATLANTA
GA
303071531
Provider Mailing Phone/Fax
| Phone: | 7039993073 |
| Fax: |