Firestone, Brenna
Firestone, Brenna is an individual health care provider with primary practice located at 10640 N Riverside Dr Ste 200 , Fort Worth TX 76244-9506. 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. Firestone, Brenna can be contacted via phone (817) 431-9000.Contact Information
Primary practice address
10640 N Riverside Dr Ste 200
Fort Worth TX 76244-9506
Phone: (817) 431-9000
Fax: (817) 796-2781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 119514 | Texas |
Profile Details
| NPI number | 1902591829 |
|---|---|
| LBN Legal business name | Firestone, Brenna |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2023 |
| Last updated | Aug 31st, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902591829 | NPPES |
| Texas | Other | 119514 | SPEECH THERAPY LICENSE |
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