Individual
MR. DOUGLAS ALAN BRANDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S./CCC-SLP
Contact information
Practice address
515 GREENE DR, GREENVILLE, KY 42345-1409
(270) 338-0507
Mailing address
402 N 4TH ST, STURGIS, MI 49091-1168
(269) 659-4556
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
22003105A
IN
235Z00000X
Speech-Language Pathologist
Primary
3745
KY
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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