| Doctor Name: | MARIYA BROVINA |
| NPI Number: | 1396070090 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | P-0432 |
| Business Practice Address: | 2 Industrial Park Dr Bldg 2 Unit 5 Concord, NH - 033018520 |
| Business Phone Number: | 6032233330 |
| Business Fax Number: | 6038567837 |
| Mailing Address: | 1 Commons Dr # F, Suite 38 LONDONDERRY |
| State: | NH |
| Postal Code: | 030533441 |
| Phone Number: | 6034373330 |
| Fax Number: | 6034370431 |
| NPI Enumeration Date: | 10/14/2009 |
| NPI Last Update Date: | 10/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | P-0432 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| 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 |