GWENDOLYN IZELL (NPI# 1033636253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033636253 |
| Entity Type | Individual |
| Full Name | GWENDOLYN IZELL |
| Credential | M.A., CCC-SLP |
| Practice Address |
4153 Flat Shoals Pkwy Bldg C Decatur GA 30034-4106 |
| Mailing Address |
4315 Palisades Place Dr Lithonia GA 30038-6146 |
| Practice Telephone | 4042449477 |
| Practice Fax Number | 8552043767 |
| Mailing Telephone | 4042449477 |
| Mailing Fax Number | 8552043767 |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP003641 | GA | Speech, Language and Hearing Service Providers |
| Street Address |
4153 FLAT SHOALS PKWY BLDG C |
| City | DECATUR |
| State | GA |
| Zip Code | 30034-4106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992361125 | Nieeunta Jasmine Ward | Occupational Therapist | 4153 Flat Shoals Pkwy Bldg C, Decatur, GA 30034-4106 | 2019-05-13 |
| 1184193724 | Shian Williams | Speech-Language Pathologist | 4153 Flat Shoals Pkwy Bldg C, Decatur, GA 30034-4106 | 2018-11-13 |
| 1285129569 | Chelsey Nicole Taylor | Case Manager/Care Coordinator | 4153 Flat Shoals Pkwy Bldg C, Decatur, GA 30034-4106 | 2018-06-28 |
| 1528553518 | Dana Brown | Speech-Language Pathologist | 4153 Flat Shoals Pkwy Bldg C, Decatur, GA 30034-4106 | 2018-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
| 1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1801351994 | Anthony E. Parrish, D.d.s., PC | Dentist | 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 | 2019-02-04 |
| 1164916813 | Lenina O Chi-ukpai | Nurse Practitioner | 2942 Secretariat Ct, Decatur, GA 30034 | 2018-06-17 |
| 1154662765 | Zackery Kanel Thomas | Driver | 2782 Green Marsh Court, Decatur, GA 30034 | 2013-03-06 |
| 1033472642 | Lakeba Hibbler Williams | Counselor | 4147 Flat Shoals Pkwy, Decatur, GA 30034 | 2012-06-19 |
| 1164789632 | Foot Solutions of Georgia | Durable Medical Equipment & Medical Supplies | 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 | 2012-04-20 |
| 1699096172 | Wanda P Garrett | Social Worker | 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 | 2010-06-18 |
| 1245558022 | Teresa Behrend Fletcher | Counselor | 3915 Brookside Pkwy, Decatur, GA 30034 | 2010-05-04 |
| Find all providers in zip 30034 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074577 | Amanda Peeler | Speech-Language Pathologist | 2176 Loring Ct, Decatur, GA 30032-5666 | 2020-02-05 |
| 1043855331 | Speak Wonders | Speech-Language Pathologist | 2639 Glenvalley Dr, Decatur, GA 30032-4224 | 2019-11-11 |
| 1841761319 | Carmen Mustelier | Speech-Language Pathologist | 1635 Heatherwood Dr, Decatur, GA 30033-1706 | 2018-12-10 |
| 1477030203 | Emily J Bowen | Speech-Language Pathologist | 1400 Church St Apt G, Decatur, GA 30030-1525 | 2018-07-24 |
| 1023595006 | Lisa Mary Presti | Speech-Language Pathologist | 501 Alden Dr, Decatur, GA 30030-3320 | 2018-07-23 |
| 1679064166 | Courtney Madison Floyd | Speech-Language Pathologist | 4153 Flat Shoals Pkwy # 300a, Decatur, GA 30034-4106 | 2018-05-21 |
| 1104321124 | Alexandra Pope | Speech-Language Pathologist | 262 Maxwell St, Decatur, GA 30030-4209 | 2018-03-30 |
| 1740796556 | Cheryl Lynn Remmert | Speech-Language Pathologist | 955 N Illinois St, Decatur, IL 62521-1427 | 2017-12-17 |
| 1346754553 | Tammye O'brien | Speech-Language Pathologist | 2724 Wesley Chapel Rd Unit 361511, Decatur, GA 30036-2357 | 2017-11-27 |
| 1366954026 | Jane Anne Innis | Speech-Language Pathologist | 1499 W Main St, Decatur, IL 62522-1909 | 2017-11-02 |
| Find all providers in DECATUR | ||||
Please comment or provide details below to improve the information on GWENDOLYN IZELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.