Doctor Name: | JENNIFER B BROOKHOUSE |
NPI Number: | 1144660812 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC/SLP |
License Number: | 2995 |
Business Practice Address: | 5330 Raeford Rd Fayetteville, NC - 283043074 |
Business Phone Number: | 9104884100 |
Business Fax Number: | 9104838721 |
Mailing Address: | 4305 Huntsfield Rd, FAYETTEVILLE |
State: | NC |
Postal Code: | 283142539 |
Phone Number: | 9108852248 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2013 |
NPI Last Update Date: | 06/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2995 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |