Nancy Brandenburger, SLP-CCC
Individual provider Active NPI Speech-Language Pathologist · Chester, MD
NPI 1053540211 · NPPES record last updated Jul 9, 2009
Key facts
- NPI
- 1053540211
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 01400 (MD)
- Practice address
- 1630 Main St
Suite 110
Chester, MD 21619-2791 - Phone
- (410) 604-2982
- NPI assigned
- Jul 9, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01400 | MD | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 01400 | MD | Yes |
Addresses
Primary practice location
1630 Main St
Suite 110
Chester, MD 21619-2791
Mailing address
1502 Queen Anne Dr
Chester, MD 21619-2826
Phone (410) 643-4906
Other providers in Chester, MD
- John A Benkovich III
- Shaun Bevins
- Billings & Murphy, D.D.S., P.a.
- Scott Harrison Billings
- Christina Joy Blake
- Elaine Nicole Brennan
- Jennifer Brotz
- Richard Davis Brown
- Sarah Callanan
- Cardiology Associates, LLC
All providers in Chester, MD · Speech-Language Pathologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.