Provider Demographics
NPI:1356764534
Name:BRANDI, ABIGAIL (CCC-SLP)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:BRANDI
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:
Other - Last Name:BRANDI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:1368 ASHTON PARK LN
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-3582
Mailing Address - Country:US
Mailing Address - Phone:360-490-1341
Mailing Address - Fax:
Practice Address - Street 1:1368 ASHTON PARK LN
Practice Address - Street 2:
Practice Address - City:NEWBURY PARK
Practice Address - State:CA
Practice Address - Zip Code:91320-3582
Practice Address - Country:US
Practice Address - Phone:360-490-1341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-24
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist