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MS. JEANNE MARIE BRUDER M.A., CCC-SLP, TSSLD
>> Speech-Language Pathologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1174983803
Individual Registrant:MS. JEANNE MARIE BRUDER M.A., CCC-SLP, TSSLD
Gender: F
Sole Proprietor
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: --
Tel: 917-843-4612 Fax: --
Contact information for business:
113 BEACH 220TH ST BREEZY POINT, NY 11697-1523 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1174983803
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
