Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brantley Black Bruce, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1407650708

Brantley Black Bruce, CCC-SLP is a Speech-Language Pathologist in Suwanee, Georgia. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

437 Old Peachtree Rd NW
Suwanee, GA 30024-2978
Phone: (678) 301-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 14173439

Record details

NPI number1407650708
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedApril 3, 2025
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025
Mailing address4370 Laurel Grove Trce, Suwanee, GA 30024-6930

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