Doctor Name: | CATHERINE BRUBAKER |
NPI Number: | 1972724607 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | S.P. |
License Number: | |
Business Practice Address: | 2505 E Jefferson Blvd South Bend, IN - 466152635 |
Business Phone Number: | 5742894831 |
Business Fax Number: | 5742342075 |
Mailing Address: | Po Box 1049, SOUTH BEND |
State: | IN |
Postal Code: | 466241049 |
Phone Number: | 5742894831 |
Fax Number: | 5742342075 |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |