Brooke, Renee

Brooke, Renee is an sole proprietor health care provider with primary practice located at 21 Jacob Ct , Ponte Vedra FL 32081-8448. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Brooke, Renee can be contacted via phone (503) 707-6965.

Contact Information

Primary practice address
21 Jacob Ct Ponte Vedra FL 32081-8448
Phone: (503) 707-6965
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 455277D Washington
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 10366890 Oregon
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA 12462 Florida

Profile Details

NPI number 1568712073
LBN Legal business name Brooke, Renee
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2012
Last updated Mar 24th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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