Provider Demographics
NPI:1083813323
Name:NEUBERG, BRANDI LAUREN (CCC- MS- SLP/L)
Entity Type:Individual
Prefix:MISS
First Name:BRANDI
Middle Name:LAUREN
Last Name:NEUBERG
Suffix:
Gender:F
Credentials:CCC- MS- SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1308 WAUKEGAN RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-3070
Mailing Address - Country:US
Mailing Address - Phone:847-486-4140
Mailing Address - Fax:847-853-0594
Practice Address - Street 1:1308 WAUKEGAN RD
Practice Address - Street 2:SUITE 103
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-3070
Practice Address - Country:US
Practice Address - Phone:847-486-4140
Practice Address - Fax:847-853-0594
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist