Whalio Doctors

NPI 1063510873

Kathleen Brunner, MEDCCCSLP

Practitioner Speech-Language Pathologist Suwanee, GA

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
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SLP005895 (GA)

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.