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MS. JEANNE MARIE BRUDER M.A., CCC-SLP, TSSLD

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1174983803

Individual Registrant:
MS. JEANNE MARIE BRUDER M.A., CCC-SLP, TSSLD
Gender: F
Sole Proprietor

Location and contact information for practice:
113 BEACH 220TH ST  BREEZY POINT, NY 11697-1523 US
Tel: 917-843-4612  Fax: --

Contact information for business:
113 BEACH 220TH ST  BREEZY POINT, NY 11697-1523 US
Tel: --  Fax: --

Registration Information:
NPI: 1174983803
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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