Individual provider · NPI-1
Shelley A Brandt, M.S. CCC-SLP
Speech-Language Pathologist, · Palm Beach Gardens, FL
NPI number1952469975
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1952469975
- Entity type
- Individual (NPI-1)
- Name
- Miss Shelley A Brandt
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 4, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SA 8704 | FL | Yes |
Practice location
9108 Myrtlewood Cir WPalm Beach Gardens, FL 33418-6747
Phone 561-379-4191
Mailing address
9108 Myrtlewood Cir WPalm Beach Gardens, FL 33418-6747
Phone 561-379-4191
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