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NPI Code Detail

MEDICARE: STEPHANIE BRUNN

MEDICARE:   STEPHANIE  BRUNN
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 PathologistSL004300LPA

General Provider Information

NPI Number : 1407161011
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE BRUNN
Provider Business Mailing Address
First Line : 500 ROUTE 909
Second Line : HEALTHCARE CENTER
City : VERONA
State : PA
Zip : 15147-3831
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 ROUTE 909
Second Line : HEALTHCARE CENTER
City : VERONA
State : PA
Zip : 15147-3831
Country : US
Telephone Number : 412-826-5990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2010
Last Update Date : 05/24/2021

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Directions to “ STEPHANIE BRUNN ” Practice Location

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