Individual
CALEB BRANDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. CCC-SLP
Contact information
Practice address
4201 LAKE BOONE TRL STE 4, RALEIGH, NC 27607
(919) 781-4434
Mailing address
6508 GUNN HWY, TAMPA, FL 33625-4022
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13556
NC
Other
Enumeration date
09/29/2017
Last updated
08/25/2019
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