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NPI Code Detail

MEDICARE: MRS. BROOKE LAUREN FLETCHER

MEDICARE:  MRS. BROOKE LAUREN FLETCHER
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 Pathologist41YS00883200NJ
2235Z00000XSpeech-Language PathologistNJ

General Provider Information

NPI Number : 1366103335
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BROOKE LAUREN FLETCHER
Provider Business Mailing Address
First Line : 3 LAVENDER LN
Second Line :
City : MOUNT LAUREL
State : NJ
Zip : 08054-5721
Country : US
Telephone Number : 856-905-0789
Fax Number :
Provider Business Practice Location Address
First Line : 3 LAVENDER LN
Second Line :
City : MOUNT LAUREL
State : NJ
Zip : 08054-5721
Country : US
Telephone Number : 856-905-0789
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2022
Last Update Date : 01/03/2022

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Directions to “ MRS. BROOKE LAUREN FLETCHER ” Practice Location

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