NPI 1063510873
Kathleen Brunner, MEDCCCSLP
Practice location
- Address
- 3905 Johns Creek CT Suite 250, Suwanee, GA 30024-1265
- Phone
- (770) 888-5221
- Fax
- (770) 623-5544
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1063510873
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Sep 2006
- Record last updated
- 8 Jul 2007
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.