Individual
MRS. FAYE S. BROCKMILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
5207 GLENWALL DR, ALIQUIPPA, PA 15001-4913
(724) 378-1907
Mailing address
5207 GLENWALL DR, ALIQUIPPA, PA 15001-4913
(724) 378-1907
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL001027L
PA
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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