Doctor Name: | DANIELLE BROOKS |
NPI Number: | 1912362872 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLPA |
License Number: | |
Business Practice Address: | 551 E Station Ave Coopersburg, PA - 180362027 |
Business Phone Number: | 4848639220 |
Business Fax Number: | 6107690639 |
Mailing Address: | 551 E Station Ave, COOPERSBURG |
State: | PA |
Postal Code: | 180362027 |
Phone Number: | 4848639220 |
Fax Number: | 6107690639 |
NPI Enumeration Date: | 12/20/2015 |
NPI Last Update Date: | 12/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |