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NPI Code Detail

MEDICARE: BRANDY BRATCHER BICKLEY

MEDICARE: BRANDY BRATCHER BICKLEY
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
1235Z00000XSpeech-Language Pathologist3491AL

General Provider Information

NPI Number : 1588166581
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDY BRATCHER BICKLEY
Provider Business Mailing Address
First Line : 4900 PEBBLE SHORE DR
Second Line :
City : OPELIKA
State : AL
Zip : 36804-8280
Country : US
Telephone Number : 334-695-3822
Fax Number :
Provider Business Practice Location Address
First Line : 1720 KNOWLES RD
Second Line :
City : PHENIX CITY
State : AL
Zip : 36869-7135
Country : US
Telephone Number : 334-291-0485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2018
Last Update Date : 03/06/2018

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Directions to “ BRANDY BRATCHER BICKLEY ” Practice Location

Language Start Address Practice Location
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