Organization Name: | STEFANIE BRANNAN M.S. CCC-SLP |
NPI Number: | 1780008417 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEFANIE BRANNAN (OWNER/SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 4940 San Diego Ct Sparks |
State: | NV US |
Postal Code: | 894360687 |
Phone Number: | 7757428635 |
Fax Number: | 7754486106 |
NPI Enumeration Date: | 02/17/2014 |
NPI Last Update Date: | 02/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP-1216 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
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 |