Doctor Name: | BRANDY GOSSETT |
NPI Number: | 1427321561 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MCD, CCC-SLP |
License Number: | |
Business Practice Address: | 3950 Ryans Lake Ter Cumming, GA - 300406070 |
Business Phone Number: | 6786620711 |
Business Fax Number: | |
Mailing Address: | 3950 Ryans Lake Ter, CUMMING |
State: | GA |
Postal Code: | 300406070 |
Phone Number: | 6786620711 |
Fax Number: | |
NPI Enumeration Date: | 02/21/2012 |
NPI Last Update Date: | 03/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |