Healthcare Provider Details

I. General information

NPI: 1417866369
Provider Name (Legal Business Name): BRIANNA JO HUEGEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N ROSENBERGER AVE
EVANSVILLE IN
47712-6503
US

IV. Provider business mailing address

5347 CHISHOLM CT APT L
TERRE HAUTE IN
47803-4225
US

V. Phone/Fax

Practice location:
  • Phone: 812-491-3856
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number46004853A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: