Individual
BRANDI PHENIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
304 N LBJ DR, JOHNSON CITY, TX 78636-4974
(830) 868-4028
Mailing address
PO BOX 56, JOHNSON CITY, TX 78636-0056
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111951
TX
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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