Doctor Name: | MRS. CHAYA BRENNER |
NPI Number: | 1003113754 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 6376 |
Business Practice Address: | 6414 Park Hts Suite T1 Baltimore, MD - 212153055 |
Business Phone Number: | 4103188561 |
Business Fax Number: | 8668406040 |
Mailing Address: | 3608 Bancroft Rd, BALTIMORE |
State: | MD |
Postal Code: | 212153227 |
Phone Number: | 4103581997 |
Fax Number: | 8668406040 |
NPI Enumeration Date: | 02/15/2011 |
NPI Last Update Date: | 02/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6376 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |