Provider Demographics
NPI:1073732038
Name:CARUSO, BRIANNE LINDSAY (MA CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:BRIANNE
Middle Name:LINDSAY
Last Name:CARUSO
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:MISS
Other - First Name:BRIANNE
Other - Middle Name:LINDSAY
Other - Last Name:OSTROWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC-SLP
Mailing Address - Street 1:8555 OTTAWA DR
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-1710
Mailing Address - Country:US
Mailing Address - Phone:440-221-7186
Mailing Address - Fax:
Practice Address - Street 1:14709 RIDGE RD
Practice Address - Street 2:
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133-4943
Practice Address - Country:US
Practice Address - Phone:440-582-9120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP-8312235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist