Doctor Name: | KATIE RYBAK BRENNAN |
NPI Number: | 1104971175 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | LL00004448 |
Business Practice Address: | 425 N 30th St Omaha, NE - 681312100 |
Business Phone Number: | 4024525043 |
Business Fax Number: | 4024525028 |
Mailing Address: | 425 N 30th St, OMAHA |
State: | NE |
Postal Code: | 681312100 |
Phone Number: | 2064525043 |
Fax Number: | 4024525028 |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 01/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00004448 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
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 |