Individual
AMILIE BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CROSS CT, SHOREHAM, NY 11786-1921
(631) 849-2945
Mailing address
1 CROSS CT, SHOREHAM, NY 11786-1921
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013386
NY
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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