Doctor Name: | MS. CONCETTA BRUNO |
NPI Number: | 1083639322 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | SA1471 |
Business Practice Address: | 1100 Kane Concourse Bay Harbor Islands, FL - 331542013 |
Business Phone Number: | 3058643788 |
Business Fax Number: | 3058647114 |
Mailing Address: | 1100 Kane Concourse, BAY HARBOR ISLANDS |
State: | FL |
Postal Code: | 331542013 |
Phone Number: | 3058643788 |
Fax Number: | 3058647114 |
NPI Enumeration Date: | 07/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA1471 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |