Doctor Name: | BRANDY SHELDON |
NPI Number: | 1164595716 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | LL00003684 |
Business Practice Address: | 425 Sw 41st St Renton, WA - 980554926 |
Business Phone Number: | 4252919200 |
Business Fax Number: | |
Mailing Address: | 566 Prospect St Apt 208, SEATTLE |
State: | WA |
Postal Code: | 981093855 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/15/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00003684 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |