Individual
BRENNA LINSCOTT GONSALVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
6051 U S HIGHWAY 49, HATTIESBURG, MS 39401-7200
(601) 288-7000
Mailing address
75 CROSS CREEK PKWY APT 5304, HATTIESBURG, MS 39402-4456
(508) 463-6002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13325
NC
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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