Brandy Blank M.A.,CCC-SLP

NPI 1205112844 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1205112844
Gender Female
Enumeration Date 10/27/2011
Last Updated 12/06/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
6320 N QUAIL HOLLOW RD
MEMPHIS TN, 38120-1420, US
Phone (901) 761-0021
Fax (901) 432-5215
Business Location
2526 PARK CREEK CV N
GERMANTOWN TN, 38139-6559, US
Phone (901) 737-0132
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Tennessee
License Number SP 0000002312
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According to our database, Brandy Blank M.A.,CCC-SLP NPI is 1205112844, taxonomy code is 235Z00000X and license number is SP 0000002312, license state is located at Tennessee. Brandy Blank M.A.,CCC-SLP physically located at 6320 N Quail Hollow Rd, Memphis TN, 38120-1420. NPI Number Brandy Blank M.A.,CCC-SLP has the Individual type.

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1205112844 NPI number is provided on an as is basis without warranty of any kind. 1205112844 is maintained by the National Plan & Provider Enumeration System. The contents of Brandy Blank M.A.,CCC-SLP are for informational purposes only.