Provider Demographics
NPI:1225415219
Name:BRASHER, DARCI
Entity Type:Individual
Prefix:
First Name:DARCI
Middle Name:
Last Name:BRASHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DARCI
Other - Middle Name:
Other - Last Name:PICKETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2402 BROOKDALE AVE
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-1902
Mailing Address - Country:US
Mailing Address - Phone:440-623-5078
Mailing Address - Fax:
Practice Address - Street 1:15720 KIPLING AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44110-3105
Practice Address - Country:US
Practice Address - Phone:216-383-1214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-29
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2014311235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist