| Doctor Name: | SANDRA BRUPBACHER |
| NPI Number: | 1427254804 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 102247 |
| Business Practice Address: | 618 N Main St Temple, TX - 765013249 |
| Business Phone Number: | 2547736787 |
| Business Fax Number: | 2547700516 |
| Mailing Address: | 1305 W Villa Maria Rd, BRYAN |
| State: | TX |
| Postal Code: | 778014200 |
| Phone Number: | 5125125122 |
| Fax Number: | 2547700516 |
| NPI Enumeration Date: | 06/22/2007 |
| NPI Last Update Date: | 08/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 102247 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| 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 |