Doctor Name: | BRIANNA MISSLER |
NPI Number: | 1750741633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SP |
License Number: | COND.2015276-SP |
Business Practice Address: | 2500 W Strub Rd Suite 150 Sandusky, OH - 448705390 |
Business Phone Number: | 4196264162 |
Business Fax Number: | 4196261268 |
Mailing Address: | 3004 Hayes Ave, SANDUSKY |
State: | OH |
Postal Code: | 448705321 |
Phone Number: | 4196091112 |
Fax Number: | 4196091123 |
NPI Enumeration Date: | 03/04/2016 |
NPI Last Update Date: | 03/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | COND.2015276-SP |
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 |