NPI 1124441936 · live from the CMS NPI Registry
Amy Lynn Brazil, MA, CCC-SLP
Speech-Language Pathologist, in Wichita, KS. National Provider Identifier 1124441936, active.
NPI record
| NPI | 1124441936 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 6915 E Rockwood Rd, Wichita, KS 67206 |
| Practice phone | 316-371-3816 |
| Enumerated | January 29, 2014 |
| Last updated | January 29, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 3201 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.