Doctor Name: | MR. STANLEY BRANDRIET |
NPI Number: | 1013180280 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | HIS |
License Number: | 19-154 |
Business Practice Address: | 823 N 2nd St Suite 213 Milwaukee, WI - 532031818 |
Business Phone Number: | 4142721466 |
Business Fax Number: | 4142721467 |
Mailing Address: | 823 N 2nd St, Suite 213 MILWAUKEE |
State: | WI |
Postal Code: | 532031818 |
Phone Number: | 4142721466 |
Fax Number: | 4142721467 |
NPI Enumeration Date: | 04/09/2008 |
NPI Last Update Date: | 12/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 19-154 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
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 |