Brandenburg, Mallory
Brandenburg, Mallory is an individual health care provider with primary practice located at 363 W Lincoln Trail Blvd , Radcliff KY 40160-3302. 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. Brandenburg, Mallory can be contacted via phone (270) 351-1133.Contact Information
Primary practice address
363 W Lincoln Trail Blvd
Radcliff KY 40160-3302
Phone: (270) 351-1133
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 247643 | Kentucky |
Profile Details
| NPI number | 1427611417 |
|---|---|
| LBN Legal business name | Brandenburg, Mallory |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2019 |
| Last updated | Apr 16th, 2019 - about 7 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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