Whalio Doctors

NPI 1023590643

Madison Lauren Brazeel, MSCCCSLP

Practitioner Speech-Language Pathologist Bismarck, ND

Practice location

Address
2625 N 19th St, Bismarck, ND 58503-0574
Phone
(701) 222-3175
Fax
(701) 222-3186

Registered specialties (2)

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 1947 (ND)
Behavior Technician
Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-18-64141 (CA)

Registry record

NPI
1023590643
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Aug 2018
Record last updated
19 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.