Doctor Name: | BRENNA MCCLARNON |
NPI Number: | 1417313859 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 9605 |
Business Practice Address: | 5710 Baker Rd Minnetonka, MN - 553455901 |
Business Phone Number: | 6125006750 |
Business Fax Number: | |
Mailing Address: | 5710 Baker Rd, MINNETONKA |
State: | MN |
Postal Code: | 553455901 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/14/2016 |
NPI Last Update Date: | 01/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 9605 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |