NPI 1679741664 · live from the CMS NPI Registry
Andrea D Brogan, SLP
Speech-Language Pathologist, in Petersburg, WV. National Provider Identifier 1679741664, active.
NPI record
| NPI | 1679741664 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | Grant County Board Of Education, 204 Jefferson Avenue, Petersburg, WV 26847 |
| Practice phone | 304-257-1011 |
| Enumerated | February 13, 2008 |
| Last updated | February 13, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 0823 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.