Individual
BRENNA HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC- SLP
Contact information
Practice address
129A HILLSIDE AVE, WILLISTON PARK, NY 11596
(516) 742-3536
Mailing address
129A HILLSIDE AVE, WILLISTON PARK, NY 11596-2305
(516) 742-3536
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
01/15/2024
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