Individual
BREANN VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 MOUNT VERNON RD, NEWARK, OH 43055-4615
(740) 670-7000
Mailing address
7245 UPPER ALBANY DR, NEW ALBANY, OH 43054-9111
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-10103
OH
Other
Enumeration date
02/18/2014
Last updated
05/04/2017
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