Individual
BREANNA WALDRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3205 CORNELL AVE, DALLAS, TX 75205-2933
(214) 789-9431
Mailing address
7150 E GRAND AVE, APT 313, DALLAS, TX 75223-1000
(214) 789-9431
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
104036
TX
Other
Enumeration date
06/27/2008
Last updated
03/01/2016
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