NPI 1396586970 · live from the CMS NPI Registry
Brigid Brandon, MA,CCC-SLP
Speech-Language Pathologist, in Fairbanks, AK. National Provider Identifier 1396586970, active.
NPI record
| NPI | 1396586970 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1020 Barnette St, Fairbanks, AK 99701 |
| Practice phone | 907-456-4003 |
| Mailing address | 4236 Aspenwood Dr, Fairbanks, AK 99709 |
| Enumerated | June 5, 2024 |
| Last updated | June 5, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 116383 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.