Individual
BARBARA LEE BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
1801 W SCREVEN ST, QUITMAN, GA 31643-3620
(229) 263-7868
Mailing address
1801 W SCREVEN ST, QUITMAN, GA 31643-3620
(229) 263-7868
(229) 584-7142
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
PCET002235
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP009347
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003178241A
—
GA
Enumeration date
08/04/2015
Last updated
04/28/2022
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