Doctor Name: | BROOKE GUNTER |
NPI Number: | 1043624646 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2202007075 |
Business Practice Address: | 507 Westwood Office Park Dkb Therapy Services Inc Fredericksburg, VA - 224015111 |
Business Phone Number: | 5406936997 |
Business Fax Number: | |
Mailing Address: | 7508 Snowpea Ct, Unit L ALEXANDRIA |
State: | VA |
Postal Code: | 223062258 |
Phone Number: | 6102079771 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2014 |
NPI Last Update Date: | 06/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202007075 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |