DIANA GODWIN WALDREP (NPI# 1124261938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124261938 |
| Entity Type | Individual |
| Full Name | DIANA GODWIN WALDREP |
| Credential | SLP |
| Practice Address |
1013 Riverburch Pkwy Suite 4 Dalton GA 30721-8887 |
| Practice Telephone | 8662618090 |
| Practice Fax Number | 7062267869 |
| Mailing Telephone | 8662618090 |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | PCET001409 | GA | Speech, Language and Hearing Service Providers |
| Street Address |
1013 RIVERBURCH PKWY SUITE 4 |
| City | DALTON |
| State | GA |
| Zip Code | 30721-8887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053414177 | Integra Rehabilitation Agency, LLC | Clinic/Center | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2006-09-06 |
| 1922425503 | Heather H Mcinnis | Occupational Therapist | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2014-03-21 |
| 1780028316 | Jill Kozlowski | Physical Therapist | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2013-04-25 |
| 1184977357 | Wilma Abdon Estandian | Physical Therapist | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2012-10-24 |
| 1245552413 | Lori Knight | Occupational Therapist | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2010-02-15 |
| 1578893996 | Julie Merritt | Speech-Language Pathologist | 1013 Riverburch Pkwy, Dalton, GA 30721-8887 | 2010-01-07 |
| 1043549892 | Pauline Parillo Goroza | Occupational Therapist | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2009-12-08 |
| 1225367030 | Francisco B Cuaresma Jr. | Physical Therapist | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2009-12-08 |
| 1720314297 | Jerri F Landrum | Physical Therapist | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2009-10-19 |
| 1194058982 | Katherine Fernandez | Occupational Therapist | 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887 | 2009-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417322942 | Alison Gobel | Case Manager/Care Coordinator | 2611 Clevland Hwy, Dalton, GA 30721 | 2015-12-09 |
| 1528433026 | Crystal Sparks | Case Manager/Care Coordinator | 2611 Cleveland Highway, Dalton, GA 30721 | 2015-12-09 |
| 1043524838 | Quality Care Concepts, Inc. | Durable Medical Equipment & Medical Supplies | 121 Tilton Road, Dalton, GA 30721 | 2010-08-04 |
| 1538490081 | Jennifer Sawyer | Counselor | 720 S. Glenwood Ave, Ste 112, Dalton, GA 30721 | 2010-01-22 |
| 1831210673 | Linda E. Minter | Case Manager/Care Coordinator | 932 Williams Rd. Nw, Dalton, GA 30721 | 2007-04-02 |
| 1265595318 | M Edwin Caylor Dds PC | Dentist | 2880 Cleveland Hwy, Dalton, GA 30721 | 2006-12-19 |
| 1295823003 | Candler Road Dental, PC | Dentist | 2107 E. Walnut Ave., Dalton, GA 30721 | 2006-10-10 |
| 1508872466 | Family Walk-in Clinic | Family Medicine | 1100 E Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-31 |
| 1225056823 | James L Coone | Family Medicine | 1100 E. Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-18 |
| 1770517591 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1205 N Glenwood Road, Dalton, GA 30721 | 2006-07-10 |
| Find all providers in zip 30721 | ||||
| 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 |
|---|---|---|---|---|
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1316363815 | Emily Ann Miller | Speech-Language Pathologist | 493 North St, Dalton, MA 01226-1224 | 2014-03-10 |
| 1801141577 | Stephanie Lynn Timothy | Speech-Language Pathologist | 11585 E Wood Rd, Dalton, NY 14836-9643 | 2012-07-19 |
| 1346542461 | Karen Ann Cwiklinski | Speech-Language Pathologist | Church and Maple Sts, Dalton, NY 14836 | 2010-11-22 |
| 1265743207 | Lindsie Hope Champion | Speech-Language Pathologist | 100 W Walnut Ave Ste 92, Dalton, GA 30720-8441 | 2010-06-24 |
| 1881209138 | Allison Anastasia Eargle | Speech-Language Pathologist | 1011 Professional Blvd, Dalton, GA 30720-2506 | 2020-09-14 |
| 1861013831 | Laurie Shaw | Speech-Language Pathologist | 1201 Burleyson Rd, Dalton, GA 30720-3019 | 2020-05-01 |
| 1689206617 | Caroline Snellgrove | Speech-Language Pathologist | 1011 Professional Blvd, Dalton, GA 30720-2506 | 2020-02-07 |
| 1568014371 | Laura Lynn Sams | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, GA 30720 | 2019-07-11 |
| Find all providers in DALTON | ||||
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| 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.