Janice Leigh Anne Bennett, M.ED CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Dublin, GA
NPI 1629354568 · NPPES record last updated Aug 14, 2013
Key facts
- NPI
- 1629354568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP007724 (GA)
- Practice address
- 1205 Bellevue Ave
Suite H
Dublin, GA 31021-4155 - Phone
- (478) 272-2100
- Fax
- (478) 272-2005
- NPI assigned
- Oct 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP007724 | GA | Yes |
Addresses
Primary practice location
1205 Bellevue Ave
Suite H
Dublin, GA 31021-4155
Mailing address
1006 Scotland Rd
Rentz, GA 31075-3316
Phone (478) 272-2100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770843948 | Other | GA | NPI GROUP |
| 003126629A | Medicaid | GA |
Other names
- Janice Leigh Anne Griggs
Other providers in Dublin, GA
- Behavioral Counseling and Intervention Management, LLC
- Behavioral Health of Middle Georgia, LLC
- Alex Antonio Bell
- Vaughn Thomas Bell Jr.
- Cynthia A. Bellflower
- Maurine Wilcox Bennett
- Paulette Bennett
- Robert Martin Bennett
- Tristen Julian Hinson Bennett
- Jimmy Benson Jr.
All providers in Dublin, 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 Aug 14, 2013. 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.