Emily Gantt
Speech-Language Pathologist, in Dallas, GA. Individual provider (NPI-1).
NPI number1043662349
StatusActive
Last updated in NPPESJul 11, 2016
Details
- NPI
- 1043662349
- Entity type
- Individual (NPI-1)
- Name
- Emily Gantt
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2016
- Last updated
- Jul 11, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
283 Red Hawk WayDallas, GA 30132-1149
Phone 561-801-3148
Mailing address
2 Raymond Ave NwRome, GA 30165-1526
Phone 706-676-2392
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