Individual
JENNA LEIGH BRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
8580 VERREE RD, PHILADELPHIA, PA 19111-1370
(215) 214-2800
Mailing address
4312 MAIN ST APT 207, PHILADELPHIA, PA 19127-1530
(814) 715-1058
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013470
PA
235Z00000X
Speech-Language Pathologist
SLP009292
GA
Other
Enumeration date
01/24/2017
Last updated
07/21/2022
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