Organization
J BRANCH SLP SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH B BRANCH CCC-SLP (OWNER/SPEECH THERAPIST)
(229) 392-2521
Entity
Organization
Contact information
Practice address
5809 WESTLAKE DR, TIFTON, GA 31794-2201
(229) 392-2521
(229) 386-5005
Mailing address
5809 WESTLAKE DR, TIFTON, GA 31794-2201
(229) 392-2521
(229) 386-5005
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001263
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003148417B
—
GA
05
—
003158766A
—
GA
Enumeration date
03/17/2015
Last updated
07/23/2015
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