Doctor Name: | MRS. SARAJANE MANLY BROGNANO |
NPI Number: | 1114293685 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | |
Business Practice Address: | 2491 Emery Rd South Wales, NY - 141399408 |
Business Phone Number: | 2222222222 |
Business Fax Number: | |
Mailing Address: | Po Box 85, SOUTH WALES |
State: | NY |
Postal Code: | 141390085 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/28/2012 |
NPI Last Update Date: | 07/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |