Individual
MRS. BRANDI BUSSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
11512 LAKE MEAD AVE, 604, JACKSONVILLE, FL 32256-9680
(904) 652-5408
Mailing address
7816 SOUTHSIDE BLVD, 185, JACKSONVILLE, FL 32256-7016
(904) 304-0109
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ5512
FL
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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