Wellformed AI

NPI 1164020723 · live from the CMS NPI Registry

Ruby Brison

Speech-Language Pathologist, in Wilmington, DE. National Provider Identifier 1164020723, active.

NPI record

NPI1164020723 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location1311 Brandywine Blvd, Wilmington, DE 19809
Practice phone302-529-3118
EnumeratedOctober 15, 2020
Last updatedJanuary 13, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X01-0011861 (DE)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.