Individual
BRANDI DEBRUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
1111 N 36TH ST, MUSKOGEE, OK 74401-1809
(918) 683-4621
(918) 683-4002
Mailing address
4912 E EL PASO ST, BROKEN ARROW, OK 74014-1958
(918) 688-1660
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
77137
MA
235Z00000X
Speech-Language Pathologist
Primary
SP2364
OK
Other
Enumeration date
06/22/2015
Last updated
06/07/2022
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