Brianne Roberts
Individual provider Active NPI Speech-Language Pathologist · Olyphant, PA
NPI 1306149745 · NPPES record last updated Dec 7, 2010
Key facts
- NPI
- 1306149745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SL008093 (PA)
- Practice address
- 102 Wood St
Olyphant, PA 18447-2315 - Phone
- (570) 656-9714
- NPI assigned
- Dec 7, 2010
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL008093 | PA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL008093 | PA | Yes |
Addresses
Primary practice location
102 Wood St
Olyphant, PA 18447-2315
Mailing address
102 Wood St
Olyphant, PA 18447-2315
Other providers in Olyphant, PA
- Eric Michael Pusey
- Rebar Dental
- Krista Marie Rebar
- Stephen M. Rebar
- Rite Aid of Pennsylvania LLC
- Roseann Marie Rupp-Maiolatesi
- Samir B Pancholy LLC
- Emilia Ivanova Slavova
- Stanley Joseph Solack
- Paul Sova
All providers in Olyphant, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2010. 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.