Individual
PATRICIA JUANELLE BRUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
209 DRIFTWOOD CIR, PRUDENVILLE, MI 48651-9405
(989) 948-2580
Mailing address
209 DRIFTWOOD CIR, PRUDENVILLE, MI 48651-9405
(989) 948-2580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004288
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12655878
CAQH
MI
Enumeration date
09/11/2013
Last updated
01/15/2026
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