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NPI Code Detail

MEDICARE: BRENNA LEE STEISKAL M.S, CCC-SLP

MEDICARE: BRENNA LEE STEISKAL M.S, CCC-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
1235Z00000XSpeech-Language Pathologist
2235Z00000XSpeech-Language Pathologist37176CA
3235Z00000XSpeech-Language Pathologist30003274NC

General Provider Information

NPI Number : 1457126625
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENNA LEE STEISKAL M.S, CCC-SLP
Provider Business Mailing Address
First Line : 5221 SUNSET WALK LANE
Second Line :
City : HOLLY SPRINGS
State : NC
Zip : 27540
Country : US
Telephone Number : 760-529-4975
Fax Number : 760-529-4761
Provider Business Practice Location Address
First Line : 5221 SUNSET WALK LANE
Second Line :
City : HOLLY SPRINGS
State : NC
Zip : 27540
Country : US
Telephone Number : 919-710-5174
Fax Number : 844-308-5802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2023
Last Update Date : 12/30/2025

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Directions to “ BRENNA LEE STEISKAL M.S, CCC-SLP” Practice Location

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