Doctor Name: | SHAUNDA BREWER |
NPI Number: | 1164562674 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MCD,CCC-SLP |
License Number: | |
Business Practice Address: | 6061 Greene 707 Paragould, AR - 724507826 |
Business Phone Number: | 8702360633 |
Business Fax Number: | |
Mailing Address: | Po Box 2581, JONESBORO |
State: | AR |
Postal Code: | 724022581 |
Phone Number: | 8702360633 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 09/28/2011 |
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 |