Brenda Ryan, SPEECH LANGUAGE PATH
Individual provider Active NPI Speech-Language Pathologist · Gate City, VA
NPI 1629067426 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1629067426
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2202002211 (VA)
- Practice address
- 195 Kane St
Gate City, VA 24251-3408 - Phone
- (276) 386-2454
- Fax
- (276) 386-1446
- NPI assigned
- Oct 14, 2005
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202002211 | VA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202002211 | VA | Yes |
Addresses
Primary practice location
195 Kane St
Gate City, VA 24251-3408
Mailing address
PO Box 1807
Gate City, VA 24251-4807
Phone (276) 386-2454
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4979681 | Medicaid | VA | |
| 283587 | Other | VA | BCBS |
Other providers in Gate City, VA
- Julia Yvonne Rentfrow
- Repko Family Vision Center, PLLC
- Melissa Gail Repko
- Restart Collective
- Sandra Kay Rhoton
- Lisa Y Salyer
- Judy T Sanders
- Scott County Dental Clinic
- Scott County Life Saving & First Aid Crew Inc
- Scott County Schools
All providers in Gate City, VA · Speech-Language Pathologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. 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.