Individual provider · NPI-1
Kate Prior Bracken
Speech-Language Pathologist, · Palm Beach Gardens, FL
NPI number1780337246
StatusActive
Last updated in NPPESFeb 3, 2022
Details
- NPI
- 1780337246
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kate Prior Bracken
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 3, 2022
- Certification date
- Feb 3, 2022
- Last updated
- Feb 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SA17933 | FL | Yes |
Practice location
13465 Pasteur BlvdPalm Beach Gardens, FL 33418-7298
Phone 561-227-0065
Mailing address
19624 Tree Stand TerLoxahatchee, FL 33470-6086
Phone 201-317-4653
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