Individual
REBECCA LEEANNE BRAMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
12 COOLVIEW LN, BRIDGEPORT, WV 26330-1009
(304) 669-0201
Mailing address
12 COOLVIEW LN, BRIDGEPORT, WV 26330-1009
(304) 669-0201
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0909
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810005152
—
WV
Enumeration date
09/23/2006
Last updated
07/09/2007
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