Individual
BROOKE LESLIE BRONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., SLP
Contact information
Practice address
11 COLDEN ST, HUNTINGTON STATION, NY 11746-4438
(631) 424-2405
Mailing address
11 COLDEN ST, HUNTINGTON STATION, NY 11746-4438
(631) 424-2405
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
009586-1
NY
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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