Van Wie, Brenda M

Van Wie, Brenda M is an sole proprietor health care provider with primary practice located at 2142 State Route 4 , Fort Edward NY 12828-3409. 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. Van Wie, Brenda M can be contacted via phone (518) 747-0843.

Contact Information

Primary practice address
2142 State Route 4 Fort Edward NY 12828-3409
Phone: (518) 747-0843
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 006161-1 New York

Profile Details

NPI number 1902059637
LBN Legal business name Van Wie, Brenda M
Credentials M.A. C.C.C.-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2008
Last updated Mar 13th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902059637 NPPES
New York Other 01060966 AMERICAN SPEECH AND HEARING ASSOCIATION ASHA
New York Other 006161-1 AMERICAN SPEECH AND HEARING ASSOCIATION ASHA

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