Organization Name: | BROOKFIELD LOCAL SCHOOLS |
NPI Number: | 1518381888 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORETTA ANDERSON (SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 614 Bedford Rd Se Brookfield |
State: | OH US |
Postal Code: | 444039756 |
Phone Number: | 3304484930 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2014 |
NPI Last Update Date: | 02/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP7705 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |