Individual
BROOKE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1412 AVENUE J, BROOKLYN, NY 11230-3788
(718) 814-7200
Mailing address
22 W 15TH ST APT 6J, NEW YORK, NY 10011-6844
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
036640
NY
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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