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Brianna Perdomo

Speech-Language Pathologist, in Austin, TX. Individual provider (NPI-1).

NPI number1710694856
StatusActive
Last updated in NPPESOct 28, 2022

Details

NPI
1710694856
Entity type
Individual (NPI-1)
Name
Brianna Perdomo
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 28, 2022
Certification date
Oct 28, 2022
Last updated
Oct 28, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,117278TXYes

Practice location

5453 Burnet Rd Apt 425
Austin, TX 78756-1637

Phone 646-761-0417

Mailing address

5453 Burnet Rd Apt 425
Austin, TX 78756-1637

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