Provider Demographics
NPI:1356003461
Name:GANTHIER, VALERY CHRISTIANA
Entity Type:Individual
Prefix:
First Name:VALERY
Middle Name:CHRISTIANA
Last Name:GANTHIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 VERSANT DR APT 303
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-8884
Mailing Address - Country:US
Mailing Address - Phone:404-966-1196
Mailing Address - Fax:
Practice Address - Street 1:1311 VERSANT DR APT 303
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-8884
Practice Address - Country:US
Practice Address - Phone:813-215-6275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Multi-Specialty
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Multi-Specialty