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Vicki W Brackett, M.S.,CCC-SLP

Speech-Language Pathologist, in Roanoke, VA. Individual provider (NPI-1).

NPI number1700922697
StatusActive
Last updated in NPPESSep 24, 2009

Details

NPI
1700922697
Entity type
Individual (NPI-1)
Name
Ms. Vicki W Brackett
Credential
M.S.,CCC-SLP
Sex
Female
Sole proprietor
No
Enumeration date
Jan 29, 2007
Last updated
Sep 24, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,2202002644VAYes

Practice location

4515 Brambleton Ave
Roanoke, VA 24018-3436

Phone 540-961-1230 · Fax 540-951-0613

Mailing address

4515 Brambleton Ave
Roanoke, VA 24018-3436

Phone 540-961-1230 · Fax 540-951-0613

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