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Individual

MR. BRIAN D. HUMPHREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A., CCC-SLP

Contact information

Practice address
3301 COLLEGE AVE, NOVA SOUTHEASTERN UNIVERSITY - SLCD, DAVIE, FL 33314-7721
(954) 262-7705
(954) 262-2847
Mailing address
3301 COLLEGE AVE, NOVA SOUTHEASTERN UNIVERSITY - SLCD, DAVIE, FL 33314-7721
(954) 262-7726
(954) 262-2847

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA2647
FL

Other

Enumeration date
10/05/2006
Last updated
09/03/2008
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