Vanessa Trina Bravo, CCC-SLP
Speech-Language Pathologist, in Chesterton, IN. Individual provider (NPI-1).
NPI number1760102909
StatusActive
Last updated in NPPESAug 29, 2022
Details
- NPI
- 1760102909
- Entity type
- Individual (NPI-1)
- Name
- Vanessa Trina Bravo
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2022
- Certification date
- Aug 29, 2022
- Last updated
- Aug 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 22006848A | IN | Yes |
Practice location
383 Kingsmill DrChesterton, IN 46304-2266
Phone 219-798-2655
Mailing address
383 Kingsmill DrChesterton, IN 46304-2266
Phone 219-798-2655
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All 56 Speech-Language Pathologist providers in Chesterton · All 693 providers in Chesterton
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