| Doctor Name: | MR. BRIAN D. HUMPHREY |
| NPI Number: | 1396831335 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., CCC-SLP |
| License Number: | SA2647 |
| Business Practice Address: | 3301 College Ave Nova Southeastern University - Slcd Davie, FL - 333147721 |
| Business Phone Number: | 9542627705 |
| Business Fax Number: | 9542622847 |
| Mailing Address: | 3301 College Ave, Nova Southeastern University - Slcd DAVIE |
| State: | FL |
| Postal Code: | 333147721 |
| Phone Number: | 9542627726 |
| Fax Number: | 9542622847 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 09/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA2647 |
| 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 |