MEDICARE: ELIZABETH BRANN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	2202011658	VA

General Provider Information

NPI Number	:	1083541098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH BRANN

Provider Business Mailing Address
First Line	:	1630 DONNA DR STE 101
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-6188
Country	:	US
Telephone Number	:	757-567-3649
Fax Number	:	866-598-2999

Provider Business Practice Location Address
First Line	:	1630 DONNA DR STE 101
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-6188
Country	:	US
Telephone Number	:	757-567-3649
Fax Number	:	866-598-2999

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/05/2026

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Directions to “ ELIZABETH BRANN ” Practice Location

Language	Start Address	Practice Location

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