Julia Bradford Blanton, M.ED. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Lagrange, GA
NPI 1265944375 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1265944375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP009881 (GA)
- Practice address
- 228 Baywood Cir
Lagrange, GA 30240-6365 - Phone
- (706) 402-4624
- NPI assigned
- Oct 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP009881 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reach Learn Grow | Speech-Language Pathologist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP009881 | GA | Yes |
Addresses
Primary practice location
228 Baywood Cir
Lagrange, GA 30240-6365
Mailing address
228 Baywood Cir
Lagrange, GA 30240-6365
Phone (706) 402-4624
Other providers in Lagrange, GA
- Gary Tyrone Bishop
- Jessica Rosalie Bishop
- Brandon Blakely Bisso
- Blackbird Endeavors, LLC
- Joya Deneen Bland
- Leona Lin Bleich
- Charmaine L Bliss
- Cameron Bilbro Body
- Brandon Bogues
- William B Bohannon
All providers in Lagrange, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.