Brianne Dettmering, MCD, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP010673 Issued in GA

Practice address

88 Carl Williams Rd
Senoia, GA 30276-3366

Phone

(678) 315-4259

NPI assigned

Feb 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Brianne Zaluski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1346872405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 CARL WILLIAMS RD",
            "city": "SENOIA",
            "state": "GA",
            "postal_code": "302763366",
            "telephone_number": "678-315-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 CARL WILLIAMS RD",
            "city": "SENOIA",
            "state": "GA",
            "postal_code": "302763366",
            "telephone_number": "678-315-4259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETTMERING",
        "first_name": "BRIANNE",
        "name_prefix": "Mrs.",
        "credential": "MCD, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNE",
            "last_name": "ZALUSKI",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara M Clair, RN
• Compassionate Hands Personal Care
• Lauren Costick
• Christy Cottrell, NP
• Stephanie Counts
• Randolph Douglas III
• Hilary Lynn Lassetter Duke
• Kirsten Britt Dwyer, D.C.
• Ethan'S Hope Anencephaly Care, Inc
• Marcel Fisher

• Speech-Language Pathologist in Senoia, GA
• Providers in Senoia, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.