Provider Demographics
NPI:1356003461
Name:GANTHIER, VALERY CHRISTIANA (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:VALERY
Middle Name:CHRISTIANA
Last Name:GANTHIER
Suffix:
Gender:
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5450 GLENRIDGE DR APT 208
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1331
Mailing Address - Country:US
Mailing Address - Phone:404-966-1196
Mailing Address - Fax:
Practice Address - Street 1:5450 GLENRIDGE DR APT 208
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1331
Practice Address - Country:US
Practice Address - Phone:404-966-1196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-06
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
222Q00000X
GASLP012690235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Multi-Specialty