Bronwyn Roberts Preston, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Huntsburg, OH

NPI 1992278659 · NPPES record last updated Jan 5, 2019

Key facts

NPI
1992278659
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP01298 (RI)
Practice address
12496 Princeton Rd
Huntsburg, OH 44046-9792
Phone
(440) 635-5567
NPI assigned
Jan 5, 2019
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

LicenseStateTypeSpecialty
SP01298RIMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP01298 RI Yes

Addresses

Primary practice location

12496 Princeton Rd
Huntsburg, OH 44046-9792

Mailing address

12496 Princeton Rd
Huntsburg, OH 44046-9792
Phone (440) 635-5567

Other providers in Huntsburg, OH

All providers in Huntsburg, OH · Speech-Language Pathologist in Ohio

Sources for this page

Verify at the official NPI Registry.