Individual
MRS. LEAH ANN BRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3368 GREYSTONE WAY, VALDOSTA, GA 31605
(229) 242-6670
(229) 242-6671
Mailing address
3368 GREYSTONE WAY, VALDOSTA, GA 31605
(229) 242-6670
(229) 242-6671
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006569
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174741037
MORE THAN WORDS ORGANIZAT
GA
01
—
797709298A
PEACH CARE FOR KIDS ID
GA
05
—
797709298A
—
GA
05
—
797709298B
—
GA
01
—
867779344A
MORE THAN WORDS MEDICAID
GA
Enumeration date
07/31/2007
Last updated
09/16/2009
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