Provider Demographics
NPI:1467249508
Name:BINKOW, NANCY H (MS,CCC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:H
Last Name:BINKOW
Suffix:
Gender:
Credentials:MS,CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6915 CASTLETON DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-2007
Mailing Address - Country:US
Mailing Address - Phone:404-702-7718
Mailing Address - Fax:404-851-0016
Practice Address - Street 1:6915 CASTLETON DR
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-2007
Practice Address - Country:US
Practice Address - Phone:404-702-7718
Practice Address - Fax:404-851-0016
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP000485235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist