Individual
NICOLE RYANN DEBRUYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
260 SUMMIT BLVD APT 8204, BROOMFIELD, CO 80021-8337
(951) 813-8402
Mailing address
260 SUMMIT BLVD APT 8204, BROOMFIELD, CO 80021-8337
(951) 813-8402
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0004468
CO
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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