Individual
BRENNA RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
873 SHADE TREE LN, FALLBROOK, CA 92028-3566
(951) 428-4317
Mailing address
873 SHADE TREE LN, FALLBROOK, CA 92028-3566
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24994
CA
Other
Enumeration date
08/26/2020
Last updated
01/31/2022
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