Individual
MRS. DEVIDA MICHELLE BRAVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1860 W WINCHESTER RD, LIBERTYVILLE, IL 60048-5351
(847) 573-9486
(847) 549-6139
Mailing address
912 SAUGATUCK TRL, VERNON HILLS, IL 60061-3243
(847) 362-2971
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146-000748
IL
235Z00000X
Speech-Language Pathologist
146.000748
IL
Other
Enumeration date
10/16/2006
Last updated
04/29/2022
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