Individual
BIANCA TIEHENA-ELIZABETH GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1949 HIGHWAY 81 STE 100, LOGANVILLE, GA 30052-4583
(770) 207-6390
Mailing address
1431 CAPITAL AVE STE 123, WATKINSVILLE, GA 30677-1883
(770) 207-6390
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP014073
GA
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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