Individual
BROOKE BRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 S 8TH ST, BEAUMONT, TX 77701-4624
(409) 502-1502
Mailing address
655 S 8TH ST, BEAUMONT, TX 77701-4624
(409) 502-1502
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
114539
TX
Other
Enumeration date
04/23/2019
Last updated
03/31/2022
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