| Doctor Name: | BRANDY BLANK |
| NPI Number: | 1205112844 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A.,CCC-SLP |
| License Number: | SP 0000002312 |
| Business Practice Address: | 6320 N Quail Hollow Rd Memphis, TN - 381201420 |
| Business Phone Number: | 9017610021 |
| Business Fax Number: | 9014325215 |
| Mailing Address: | 2526 Park Creek Cv N, GERMANTOWN |
| State: | TN |
| Postal Code: | 381396559 |
| Phone Number: | 9017370132 |
| Fax Number: | |
| NPI Enumeration Date: | 10/27/2011 |
| NPI Last Update Date: | 12/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP 0000002312 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| 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 |