MRS. Brenda M Van Wie, M.A. C.C.C.-SLP
NPI #1902059637 in Fort Edward, New York
Provider Information
- NPI Number
- 1902059637
- Entity Type
- Individual
- Name
- MRS. Brenda M Van Wie, M.A. C.C.C.-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.A. C.C.C.-SLP
- Enumeration Date
- Oct 26, 2008
- Last Updated
- Mar 13, 2013
Practice Location
- Address
- 2142 STATE ROUTE 4
- City
- Fort Edward
- State
- New York
- ZIP Code
- 12828-3409
- Phone
- (518) 747-0843
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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