Brooke Leigh Andrick, MS CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Wellston, OH
NPI 1609007012 · NPPES record last updated Aug 3, 2009
Key facts
- NPI
- 1609007012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 8705 (OH)
- Practice address
- 142 Jenkins Memorial Rd
Wellston, OH 45692-9561 - Phone
- (740) 384-3039
- NPI assigned
- Aug 3, 2009
- 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 |
|---|---|---|---|
| 12045948 | OH | MD | Speech-Language Pathologist |
| 8705 | OH | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12045948 | OH | |
| Speech-Language Pathologist | 235Z00000X | 8705 | OH | Yes |
Addresses
Primary practice location
142 Jenkins Memorial Rd
Wellston, OH 45692-9561
Mailing address
142 Jenkins Memorial Rd
Wellston, OH 45692-9561
Phone (740) 384-3039
Other providers in Wellston, OH
- Adena Pharmacy LLC
- Renee Anderson
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- Assurity Home Health Passport Services, LLC
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- Terry Bailey
- Teresa Jean Barnett
All providers in Wellston, OH · Speech-Language Pathologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2009. 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.