Provider Demographics
NPI:1215108824
Name:DOYLE, KARL E (MA, CCC-A)
Entity type:Individual
Prefix:MR
First Name:KARL
Middle Name:E
Last Name:DOYLE
Suffix:
Gender:M
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4380 GEORGETOWN SQ
Mailing Address - Street 2:STE 1002
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-6254
Mailing Address - Country:US
Mailing Address - Phone:770-220-8434
Mailing Address - Fax:770-234-9979
Practice Address - Street 1:4380 GEORGETOWN SQ
Practice Address - Street 2:STE 1002
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-6254
Practice Address - Country:US
Practice Address - Phone:770-220-8434
Practice Address - Fax:770-234-9979
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-23
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD001481231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist