| Doctor Name: | STEPHANIE LYNN BRUNN |
| NPI Number: | 1407161011 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA-CCC/SLP |
| License Number: | SL004300L |
| Business Practice Address: | 500 Route 909 Healthcare Center Verona, PA - 151473831 |
| Business Phone Number: | 4128265990 |
| Business Fax Number: | |
| Mailing Address: | 500 Route 909, Healthcare Center VERONA |
| State: | PA |
| Postal Code: | 151473831 |
| Phone Number: | 4128265990 |
| Fax Number: | |
| NPI Enumeration Date: | 08/09/2010 |
| NPI Last Update Date: | 08/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SL004300L |
| 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 |