MEDICARE: BRANDI KEITH 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
1	235Z00000X	Speech-Language Pathologist	118055	TX

General Provider Information

NPI Number	:	1649847526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDI KEITH M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	24034 EAGLE SAGE LN
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77493-2936
Country	:	US
Telephone Number	:	281-222-6774
Fax Number	:

Provider Business Practice Location Address
First Line	:	5502 4TH ST
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77493-2427
Country	:	US
Telephone Number	:	281-222-6774
Fax Number	:

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

Provider Enumeration Date	:	06/08/2021
Last Update Date	:	06/19/2026

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Directions to “ BRANDI KEITH M.S. CCC-SLP” Practice Location

Language	Start Address	Practice Location

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