Doctor Name: | MISS NICHOLA ASHFORD BRAIN |
NPI Number: | 1689801508 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 003148 |
Business Practice Address: | 59 Roxbury Road Brighton Gardens Of Stamford Stamford, CT - 06902 |
Business Phone Number: | 2033290106 |
Business Fax Number: | |
Mailing Address: | 507 Huntington Rd, STRATFORD |
State: | CT |
Postal Code: | 066143402 |
Phone Number: | 2039843743 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2009 |
NPI Last Update Date: | 06/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 003148 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |