=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457126625
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BRENNA LEE STEISKAL M.S, CCC-SLP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/17/2023
-----------------------------------------------------
Last Update Date | 12/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5221 SUNSET WALK LANE
-----------------------------------------------------
City | HOLLY SPRINGS
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27540
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-710-5174
-----------------------------------------------------
Fax | 844-308-5802
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5221 SUNSET WALK LANE
-----------------------------------------------------
City | HOLLY SPRINGS
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27540
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 760-529-4975
-----------------------------------------------------
Fax | 760-529-4761
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | 37176
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | 30003274
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------