Michael Sean Brennan, MS, SLP-CFY
Individual provider Active NPI Speech-Language Pathologist · Louisville, KY
NPI 1265112866 · NPPES record last updated Jul 19, 2023
Key facts
- NPI
- 1265112866
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 286043 (KY)
- Practice address
- 175 Market Place Dr Ste a
Louisville, KY 40229-4471 - Phone
- (502) 251-7002
- Fax
- (317) 520-8200
- NPI assigned
- Jul 19, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 286043 | KY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 286043 | KY | Yes |
Addresses
Primary practice location
175 Market Place Dr Ste a
Louisville, KY 40229-4471
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other providers in Louisville, KY
- Christina Marie Breit
- Nicholas Brement
- Amber Renee Brennan
- Courtney Brennan
- Meghan Elizabeth Brennan
- Paula Brennan
- Tiffany Anne Brennan
- David J Brenneman
- Tracey Lynn Brennenstuhl
- Carol Brenner
All providers in Louisville, KY · Speech-Language Pathologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2023. 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.