| Organization Name: | LEIGH ANNE GRIGGS BENNETT LLC |
| NPI Number: | 1770843948 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANICE LEIGH ANNE GRIGGS BENNETT (SPEECH-LANGUAGE THERAPIST) |
| Mailing Address: | 1205 Bellevue Ave Ste H Dublin |
| State: | GA US |
| Postal Code: | 310214155 |
| Phone Number: | 4782900697 |
| Fax Number: | |
| NPI Enumeration Date: | 05/22/2012 |
| NPI Last Update Date: | 04/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| 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 |