Doctor Name: | ANNALIE RENEE BROOKS |
NPI Number: | 1295085389 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., SLP-CF |
License Number: | 2202006818 |
Business Practice Address: | 1701 Library Blvd Ste A Greenwood, IN - 461421567 |
Business Phone Number: | 3178819923 |
Business Fax Number: | |
Mailing Address: | 2451 Amberleigh Dr, PLAINFIELD |
State: | IN |
Postal Code: | 461684714 |
Phone Number: | 8124868030 |
Fax Number: | |
NPI Enumeration Date: | 09/15/2012 |
NPI Last Update Date: | 09/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202006818 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
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 |