Individual
KRISTEN BOWLING BRUBAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
5937 COVE RD, ROANOKE, VA 24019-2403
(540) 483-0280
Mailing address
6932 LINN DR, ROANOKE, VA 24019-1852
(540) 420-8578
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008720
VA
Other
Enumeration date
11/15/2017
Last updated
08/12/2022
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