| Organization Name: | BRISTOL REGIONAL SPEECH & HEARING CENTER |
| NPI Number: | 1417979543 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHANNON B BRAMLETTE (PRESIDENT/EXECUTIVE DIRECTOR) |
| Mailing Address: | 2603 Osborne St Suite 1 Bristol |
| State: | VA US |
| Postal Code: | 242012326 |
| Phone Number: | 2766696331 |
| Fax Number: | 2766692950 |
| NPI Enumeration Date: | 07/25/2006 |
| NPI Last Update Date: | 05/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |