Doctor Name: | MRS. ELON NICOLE BRUNER |
NPI Number: | 1306955265 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | SA5220 |
Business Practice Address: | 1325 Se 25th Loop Suite 102 Ocala, FL - 344716090 |
Business Phone Number: | 3523687728 |
Business Fax Number: | 3523683808 |
Mailing Address: | 1325 Se 25th Loop, Suite 102 OCALA |
State: | FL |
Postal Code: | 344716090 |
Phone Number: | 3523687728 |
Fax Number: | 3523683808 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA5220 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |