Individual
VALERIE ANN BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2505 E JEFFERSON BLVD, SOUTH BEND, IN 46615-2635
(574) 289-4831
(574) 234-2075
Mailing address
61460 MEADOWLARK LN, SOUTH BEND, IN 46614-5870
(574) 807-0844
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004069A
IN
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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