Brenda Geehrer-Todd, M.S. CCC/SLP
Individual provider Active NPI Speech-Language Pathologist · Fleischmanns, NY
NPI 1063666857 · NPPES record last updated Nov 6, 2008
Key facts
- NPI
- 1063666857
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 07004-1 (NY)
- Practice address
- 976 Basil Todd Rd
Fleischmanns, NY 12430-4229 - Phone
- (845) 254-4129
- NPI assigned
- Nov 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07004-1 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 07004-1 | NY | Yes |
Addresses
Primary practice location
976 Basil Todd Rd
Fleischmanns, NY 12430-4229
Mailing address
976 Basil Todd Rd
Fleischmanns, NY 12430-4229
Phone (845) 254-4129
Other providers in Fleischmanns, NY
All providers in Fleischmanns, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2008. 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.