Individual
BRENNA NICOLE PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
2115 GRAND AVE, GRAND JUNCTION, CO 81501-8007
(970) 254-4872
Mailing address
2115 GRAND AVE, GRAND JUNCTION, CO 81501-8007
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24507643
CO
235Z00000X
Speech-Language Pathologist
8987
MN
Other
Enumeration date
10/23/2012
Last updated
08/19/2025
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