GLENDA BERTHELOT (NPI# 1336495605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336495605 |
| Entity Type | Individual |
| Full Name | GLENDA BERTHELOT |
| Credential | SLP |
| Practice Address |
1200 Lake Hearn Dr Ne Suite 250 Atlanta GA 30319-1415 |
| Mailing Address |
3558 Piedmont Rd Ne Apt 1 Atlanta GA 30305-1563 |
| Practice Telephone | 4049431007 |
| Practice Fax Number | 6788027334 |
| Mailing Telephone | 4044212070 |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP0010070 | GA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DRIVERS LICENSE | 027299208 | 01 |
| Street Address |
1200 LAKE HEARN DR NE SUITE 250 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30319-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467431940 | Narayan S Naik | Dermatology | 1200 Lake Hearn Dr Ne, Suite300, Atlanta, GA 30319-1415 | 2006-01-12 |
| 1285908160 | Dora Mcfadden | Occupational Therapist | 1200 Lake Hearn Dr Ne, Atlanta, GA 30319-1415 | 2012-02-24 |
| 1144598707 | Edward Reizenson | Pharmacist | 1200 Lake Hearn Dr Ne, Atlanta, GA 30319-1415 | 2011-12-09 |
| 1992072169 | Olabimpe Jemilat Shittabey | Pharmacist | 1200 Lake Hearn Dr Ne, Atlanta, GA 30319-1415 | 2011-11-16 |
| 1245515451 | Adebanke O Kamson | Pharmacist | 1200 Lake Hearn Dr Ne, Atlanta, GA 30319-1415 | 2011-10-19 |
| 1164705570 | Hillary N Nchotu | Pharmacist | 1200 Lake Hearn Dr Ne, Suite #425, Atlanta, GA 30319-1415 | 2011-09-21 |
| 1801176763 | Sharon R Hay | Occupational Therapist | 1200 Lake Hearn Dr Ne, Suite 250, Atlanta, GA 30319-1415 | 2011-08-24 |
| 1124318993 | Denia M Phillips | Physical Therapist | 1200 Lake Hearn Dr Ne, Suite 250, Atlanta, GA 30319-1415 | 2011-04-14 |
| 1245545946 | Jacye A Johnson | Social Worker | 1200 Lake Hearn Dr Ne, Suite 250, Atlanta, GA 30319-1415 | 2010-08-18 |
| 1750514402 | Mary Ann Mokhemar | Speech-Language Pathologist | 1200 Lake Hearn Dr Ne, Suite 250, Atlanta, GA 30319-1415 | 2009-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215556717 | Ronika Cotton | Marriage & Family Therapist | 2002 Summit Boulevard, Suite 300, Atlanta, GA 30319 | 2020-04-14 |
| 1093369548 | Gordon Peace | Physical Therapist | 705 Town Blvd Ne S 550, Atlanta, GA 30319 | 2019-08-01 |
| 1124682281 | Tiffany Nicole Blamble | Physician Assistant | 2235 Briarwood Way Ne, Brookhaven, GA 30319 | 2019-04-24 |
| 1891286860 | Sandy Springs Center for Urologic Surgery LLC | Clinic/Center | 1450 S Johnson Ferry Rd Ste 100, Atlanta, GA 30319 | 2018-05-24 |
| 1578070355 | Aaron Knott | Physical Therapist | 4260 Peachtree Road, Atlanta, GA 30319 | 2018-01-03 |
| 1639683832 | Lauren Hamann | Physical Therapist | 3777 Peachtree Rd Ne Apt 933, Brookhaven, GA 30319 | 2017-11-27 |
| 1760993984 | Caroline M. Brackette | Counselor | 2002 Summit Blvd Ste 300, Brookhaven, GA 30319 | 2017-10-15 |
| 1700328713 | Christina Head | Counselor | 1350 Dresden Drive, Atlanta, GA 30319 | 2016-11-08 |
| 1528432572 | Hillary Allyn Olivier | Occupational Therapist | 3747 Peachtree Rd, Atlanta, GA 30319 | 2015-11-13 |
| 1285025304 | Karl Weismantel | Physical Therapy Assistant | 1000 Lenox Park Blvd, Atlanta, GA 30319 | 2015-02-11 |
| Find all providers in zip 30319 | ||||
| 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 |
|---|---|---|---|---|
| 1538766761 | Camille Steiden | Speech-Language Pathologist | 300 W Wieuca Rd Ne Ste 200, Atlanta, GA 30342-3352 | 2020-10-01 |
| 1801409453 | Alicia Lorene Howard | Speech-Language Pathologist | 29101 N State Road 19, Atlanta, IN 46031-9443 | 2020-08-24 |
| 1689285165 | Grace Mckinnon Cutchin | Speech-Language Pathologist | 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 | 2020-08-10 |
| 1568070134 | Andrea Nickels | Speech-Language Pathologist | 746 Yorkshire Rd Ne, Atlanta, GA 30306-3247 | 2020-07-20 |
| 1598382319 | Emily Ann O'gorman | Speech-Language Pathologist | 2312 River Green Dr Nw, Atlanta, GA 30327-3056 | 2020-06-27 |
| 1588280242 | Rachel Lauren Steinberg | Speech-Language Pathologist | 1001 Garden View Dr Ne Apt 1146, Atlanta, GA 30319-5832 | 2020-06-18 |
| 1346865060 | Doolittle Speech and Language Services | Speech-Language Pathologist | 2626 Summit Pkwy Sw, Atlanta, GA 30331-9425 | 2020-06-09 |
| 1043831506 | Tyren Russell | Speech-Language Pathologist | 2144 Peachtree Rd Nw Apt 621, Atlanta, GA 30309-1639 | 2020-05-06 |
| 1992324677 | Dartha Kathryn Chance | Speech-Language Pathologist | 107 Bainbridge Dr, Atlanta, GA 30327-4269 | 2020-04-13 |
| 1083241871 | Erin Cummins | Speech-Language Pathologist | 1107 Summit Pointe Way Ne, Atlanta, GA 30329-4040 | 2020-03-24 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on GLENDA BERTHELOT.
| 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.