Most Relevant Information
Provider Data
| NPI Number: | 1003548082 |
| Provider Name: | BRIA THOMPSON |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | PCET003623 |
Most Important Dates
| Enumeration Date: | 06/28/2022 |
| Last Updated: | 06/28/2022 |
Provider Practice Location
302 PONCE DE LEON PL
DECATUR
GA
300305122
Practice Location Phone/Fax
| Phone: | 4049320696 |
| Fax: |
Provider Mailing Location
8647 EARTHENWARE DR
CHARLOTTE
NC
282697353
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |