MEDICARE: ALEJANDRA BRUTTON CCC-SLP

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	SLP000505	DC

General Provider Information

NPI Number	:	1891054284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEJANDRA BRUTTON CCC-SLP

Provider Business Mailing Address
First Line	:	2800 WOODLEY RD NW
Second Line	:	APT 528
City	:	WASHINGTON
State	:	DC
Zip	:	20008-4116
Country	:	US
Telephone Number	:	954-599-8136
Fax Number	:

Provider Business Practice Location Address
First Line	:	1250 CONNECTICUT AVE NW
Second Line	:	SUITE 200
City	:	WASHINGTON
State	:	DC
Zip	:	20036-2603
Country	:	US
Telephone Number	:	202-675-0400
Fax Number	:

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

Provider Enumeration Date	:	05/07/2012
Last Update Date	:	11/19/2012

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Directions to “ ALEJANDRA BRUTTON CCC-SLP” Practice Location

Language	Start Address	Practice Location

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