Doctor Name: | MS. AMY BETH BREWER |
NPI Number: | 1649433095 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 00934 |
Business Practice Address: | 3000 Risen Son Blvd Council Bluffs, IA - 515031911 |
Business Phone Number: | 7123669655 |
Business Fax Number: | 7123660277 |
Mailing Address: | 1105 Harney St, Apt 407 OMAHA |
State: | NE |
Postal Code: | 681021829 |
Phone Number: | 4024151406 |
Fax Number: | 7123660277 |
NPI Enumeration Date: | 07/07/2008 |
NPI Last Update Date: | 07/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 00934 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |