Provider Demographics
NPI:1043738826
Name:SCHEEL, BRENDA LYNN (MSCCC-SLP)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:LYNN
Last Name:SCHEEL
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 PENNSBURY CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22406-7230
Mailing Address - Country:US
Mailing Address - Phone:321-794-8381
Mailing Address - Fax:
Practice Address - Street 1:14 PENNSBURY CT
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22406-7230
Practice Address - Country:US
Practice Address - Phone:321-794-8381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202005967235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist