Michelle Brannon
Individual provider Active NPI Developmental Therapist · Hammond, IN
NPI 1770933756 · NPPES record last updated Jun 21, 2016
Key facts
- NPI
- 1770933756
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 1045 177TH PL
Hammond, IN 46324-3036 - Phone
- (219) 629-4209
- NPI assigned
- Jun 21, 2016
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
1045 177TH PL
Hammond, IN 46324-3036
Mailing address
1045 177TH PL
Hammond, IN 46324-3036
Phone (219) 629-4209
Other names
- Michelle Stewart
Other providers in Hammond, IN
- Veronica Booker
- Jennifer Bosak
- Andrea Lynn Boyd
- Lauren Elizabeth Brady
- Jennifer Braggs
- Billie Eden Brenner
- Ashley Broughton
- Brown Eye Care, PLLC
- Sharee Brown
- Sontkileo K Brown
All providers in Hammond, IN · Developmental Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2016. 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.