Individual
BRENDA L FRIEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
US HIGHWAY 1, STE 111, ROCKLEDGE, FL 32955-2822
(321) 543-8771
Mailing address
US HIGHWAY 1, STE 111, ROCKLEDGE, FL 32955-2822
(321) 432-4871
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA5657
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
884682100
—
FL
01
—
S2133
BCBS
FL
Enumeration date
11/30/2006
Last updated
06/02/2008
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