MEDICARE: BROOKE E MUHLBAIER 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

General Provider Information

NPI Number	:	1285357343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKE E MUHLBAIER SLP

Provider Business Mailing Address
First Line	:	430 ELLEN CT
Second Line	:
City	:	MILLVILLE
State	:	NJ
Zip	:	08332-4720
Country	:	US
Telephone Number	:	609-579-0998
Fax Number	:

Provider Business Practice Location Address
First Line	:	1450 MARLTON PIKE E
Second Line	:
City	:	CHERRY HILL
State	:	NJ
Zip	:	08034-2244
Country	:	US
Telephone Number	:	856-874-7700
Fax Number	:

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

Provider Enumeration Date	:	09/23/2022
Last Update Date	:	09/23/2022

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Directions to “ BROOKE E MUHLBAIER SLP” Practice Location

Language	Start Address	Practice Location

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