Suzanne Brakhage, M.A., CCC-SLP Valid NPI

Individual provider · Speech-Language Pathologist · O Fallon, MO

NPI

1548717952

Type

Individual (Type 1)

Primary specialty

Speech-Language Pathologist

Specialty group

Speech, Language and Hearing Service Providers

Taxonomy code

235Z00000X

License number

625136 (MO)

Sex

Female

Sole proprietor

Yes

Enumerated

2016-09-01

Last updated

2016-09-01