Individual
NATAILIE NICOLE BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
2454 FENTON ST, EDGEWATER, CO 80214-1133
(408) 455-6543
Mailing address
2454 FENTON ST, EDGEWATER, CO 80214-1133
(408) 455-6543
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
11710
MD
235Z00000X
Speech-Language Pathologist
38560
CA
235Z00000X
Speech-Language Pathologist
LL61614780
WA
235Z00000X
Speech-Language Pathologist
SAH-2024-0396
NM
235Z00000X
Speech-Language Pathologist
SL018664
PA
235Z00000X
Speech-Language Pathologist
Primary
SLP.0005823
CO
235Z00000X
Speech-Language Pathologist
SLP013864
GA
Other
Enumeration date
06/15/2020
Last updated
10/20/2025
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