Organization
BNB SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI LYNN BUSSEY M.A., CCC-SLP (OWNER)
(904) 304-0109
Entity
Organization
Contact information
Practice address
1067 MOOSEHEAD DR, ORANGE PARK, FL 32065-5242
(904) 304-0109
Mailing address
1067 MOOSEHEAD DR, ORANGE PARK, FL 32065-5242
(904) 304-0109
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
SA12010
FL
Other
Enumeration date
02/20/2016
Last updated
02/20/2016
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