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Organization
SHELLEY BRANDT INC
Active
Organization
SHELLEY BRANDT INC
Active
Other names
Palm Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY BRANDT M.S. CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(561) 694-7661
Entity
Organization
Contact information
Practice address
11911 US HIGHWAY 1, SUITE 102, NORTH PALM BEACH, FL 33408-2827
(561) 694-7661
(561) 694-7691
Mailing address
1860 KATHY LN, NORTH PALM BEACH, FL 33408-3017
(561) 694-7661
(561) 694-7691
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 8704
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890527400
—
FL
Enumeration date
12/31/2010
Last updated
12/31/2010
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