Brantley, Barbara Lee

Brantley, Barbara Lee is an individual health care provider with primary practice located at 1801 W Screven St , Quitman GA 31643-3620. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Brantley, Barbara Lee can be contacted via phone (229) 263-7868.

Contact Information

Primary practice address
1801 W Screven St Quitman GA 31643-3620
Phone: (229) 263-7868
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP009347 Georgia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X PCET002235 Georgia

Profile Details

NPI number 1538545371
LBN Legal business name Brantley, Barbara Lee
Credentials M.ED., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2015
Last updated Apr 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538545371 NPPES
Georgia MEDICAID 003178241A

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