NPI 1598511727 · live from the CMS NPI Registry
Jacqueline Brunner, M.S., CCC-SLP
Speech-Language Pathologist, in Cranston, RI. National Provider Identifier 1598511727, active.
NPI record
| NPI | 1598511727 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 2407 Cranston St, Cranston, RI 02920 |
| Practice phone | 401-714-6063 |
| Enumerated | April 29, 2024 |
| Last updated | April 29, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | SLP77324 (MA) |
| Speech-Language Pathologist, primary | 235Z00000X | SP01520 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.