Individual
SHANNON BRANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-5241
Mailing address
3325 S TAYLOR AVE, MILWAUKEE, WI 53207-2727
(262) 945-9372
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4704-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100082515
—
WI
Enumeration date
08/09/2018
Last updated
01/19/2026
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