Individual
VANESSA TRINA BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
383 KINGSMILL DR, CHESTERTON, IN 46304-2266
(219) 798-2655
Mailing address
383 KINGSMILL DR, CHESTERTON, IN 46304-2266
(219) 798-2655
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006848A
IN
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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