Healthcare Provider Details

I. General information

NPI: 1356003461
Provider Name (Legal Business Name): VALERY CHRISTIANA GANTHIER M.S. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2021
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5450 GLENRIDGE DR APT 208
ATLANTA GA
30342-1331
US

IV. Provider business mailing address

5450 GLENRIDGE DR APT 208
ATLANTA GA
30342-1331
US

V. Phone/Fax

Practice location:
  • Phone: 404-966-1196
  • Fax:
Mailing address:
  • Phone: 404-966-1196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP012690
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: