Doctor Name: | SHELLY BRANDS |
NPI Number: | 1205236221 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SL011958 |
Business Practice Address: | 993 Brodhead Rd Moon Township, PA - 151082331 |
Business Phone Number: | 4124743566 |
Business Fax Number: | |
Mailing Address: | 2893 Banksville Rd, PITTSBURGH |
State: | PA |
Postal Code: | 152162815 |
Phone Number: | 4125726761 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2014 |
NPI Last Update Date: | 08/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL011958 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |