Individual
BROOKE VENEKLASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C.D.,CCC-SLP
Contact information
Practice address
3180 PROFESSIONAL PLZ, GERMANTOWN, TN 38138-1515
(901) 328-2110
Mailing address
4949 EDENSHIRE AVE, MEMPHIS, TN 38117-5624
(901) 626-0054
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000006701
TN
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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