Provider Demographics
NPI:1013754910
Name:DUMAS, BROOKE MORGAN (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:MORGAN
Last Name:DUMAS
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5499 S CARDINAL ST
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-8477
Mailing Address - Country:US
Mailing Address - Phone:509-823-6753
Mailing Address - Fax:
Practice Address - Street 1:3680 S QUARTZ ST
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-0447
Practice Address - Country:US
Practice Address - Phone:509-823-6753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist