Individual
BRYCE GABRIELLE HANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP/L
Contact information
Practice address
132 REESE WAY, SAVANNAH, GA 31419-8479
(706) 825-2411
Mailing address
132 REESE WAY, SAVANNAH, GA 31419-8479
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010433
GA
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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