Individual
PROF. JAYNE MICHELLE BRANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
355 OAKLAND ST., 805 ALLEN HALL, MORGANTOWN, WV 26506-6122
(304) 293-2377
(304) 293-2905
Mailing address
PO BOX 6122, 355 OAKLAND ST., MORGANTOWN, WV 26506-6122
(304) 293-2377
(304) 293-2905
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1738
WV
235Z00000X
Speech-Language Pathologist
2210
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09145096
ASHA CERTIFICATION
—
Enumeration date
08/11/2009
Last updated
01/18/2017
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