Individual
MRS. SHANDA KAYE BRANNEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
20400 FALCON BROOK CT, NEW PARIS, IN 46553-9233
(574) 831-6173
Mailing address
20400 FALCON BROOK CT, NEW PARIS, IN 46553-9233
(574) 831-6173
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003431A
IN
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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