MEDICARE: DANIELLE MARIE BRENNAN

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	SA9782	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467843243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE MARIE BRENNAN

Provider Business Mailing Address
First Line	:	2644 RIVA RD
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-7427
Country	:	US
Telephone Number	:	410-222-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2830 NW 4TH ST
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33993-7033
Country	:	US
Telephone Number	:	239-233-7990
Fax Number	:

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

Provider Enumeration Date	:	02/14/2015
Last Update Date	:	12/07/2018

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Directions to “ DANIELLE MARIE BRENNAN ” Practice Location

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