Individual
BRYN PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
10613 SAND MOUNTAIN AVE, LAS VEGAS, NV 89166-5068
(321) 514-2014
Mailing address
10613 SAND MOUNTAIN AVE, LAS VEGAS, NV 89166-5068
(321) 514-2014
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SPA-1600
NV
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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