Brenda Dula, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2240 Issued in NC

Practice address

697 Edgewood Rd
Wilkesboro, NC 28697-9562

Phone

(336) 667-1555

Fax

(336) 667-2088

NPI assigned

May 1, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 'I Can' Pediatric Therapies, LLC

  • Pediatric Occupational Therapist
  • Wilkesboro, NC
  • NPI 1073873824
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1255820684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 EDGEWOOD RD",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286979562",
            "telephone_number": "336-667-1555",
            "fax_number": "336-667-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 EDGEWOOD RD",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286979562",
            "telephone_number": "336-667-1555",
            "fax_number": "336-667-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULA",
        "first_name": "BRENDA",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "2240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Marie Doran, LPCA
• Double D Enterprises of Wilkes Inc
• Dpmmoffettnrnc LLC
• Dr. Michael Vollmer
• Dr. Michael Vollmer O.D.,F.a.a.O
• Lynn Durchman, LPC
• Ashley Dyer
• Eagle Peak LTC Group, LLC
• Easter Seals Ucp North Carolina & Virginia, Inc.
• Pamela Goodman Edwards, M. A. CCC-SLP

• Speech-Language Pathologist in Wilkesboro, NC
• Providers in Wilkesboro, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.