Doctor Name: | MS. CAROLYN A BROSWSKI |
NPI Number: | 1801836416 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | 4524 |
Business Practice Address: | 48 Kyle Dr Garner, NC - 275297535 |
Business Phone Number: | 9193591323 |
Business Fax Number: | 9193598992 |
Mailing Address: | 2000-109 Brentmoor Drive, RALEIGH |
State: | NC |
Postal Code: | 27604 |
Phone Number: | 9192272324 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4524 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |