Brianne Bolin, M.S. CCC-SLP/L
Individual provider Active NPI Speech-Language Pathologist · Brookfield, IL
NPI 1609563279 · NPPES record last updated Apr 24, 2023
Key facts
- NPI
- 1609563279
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 3615 Cleveland Ave
Brookfield, IL 60513-1507 - Phone
- (773) 653-7638
- NPI assigned
- Apr 24, 2023
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | Yes |
Addresses
Primary practice location
3615 Cleveland Ave
Brookfield, IL 60513-1507
Mailing address
3615 Cleveland Ave
Brookfield, IL 60513-1507
Phone (773) 653-7638
Other providers in Brookfield, IL
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- Tyler Bernklau
- Michael Berscheid
- Robert Blackwell
- Susan Blecha
- Catherine Marie Bradley
- Nicholas Bravo
- British Home for Retired Men and Women
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All providers in Brookfield, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 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.