Individual
KASSIDY BUNTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED CCC SLP
Contact information
Practice address
3354 GREYSTONE WAY, VALDOSTA, GA 31605-1096
(229) 244-3552
Mailing address
2210 OAKGROVE CIR, VALDOSTA, GA 31602-2203
(229) 539-0622
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP013684
GA
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
07/01/2025
Last updated
07/21/2025
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