Doctor Name: | MRS. MARY ELLEN BRUNO |
NPI Number: | 1932208949 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC |
License Number: | 5981 |
Business Practice Address: | 3701 Nw Cary Pkwy Suite 301 Cary, NC - 275138431 |
Business Phone Number: | 9193880111 |
Business Fax Number: | 9193888668 |
Mailing Address: | 3701 Nw Cary Pkwy, Suite 301 CARY |
State: | NC |
Postal Code: | 275138431 |
Phone Number: | 9193880111 |
Fax Number: | 9193888668 |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 06/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5981 |
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 |