Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mary L. Duncan, CLINSCDCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1669537643

Dr. Mary L. Duncan, CLINSCDCCC-SLP is a Speech-Language Pathologist in Ellenwood, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia, Illinois and Virginia.

Licensed in
GA, IL, VA
In the registry since
2006
Specialties on file
3

Practice location Address checks out

4549 Revenue Trl
Ellenwood, GA 30294-6413
Phone: (404) 805-2875
Fax: (404) 738-2128
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7454 Hannover Pkwy S, Stockbridge, GA 30281-7889 — (229) 598-6660

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 6225 (GA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 2202009271 (VA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 146.011397 (IL)

Record details

NPI number1669537643
Entity typeIndividual (Type 1)
GenderFemale
Credentials CLINSCDCCC-SLP
Sole proprietorYes
NPI enumeratedDecember 27, 2006
Last updated in NPPESJune 10, 2021
Certification dateJune 10, 2021

Other providers in Ellenwood