Provider Demographics
NPI:1386038594
Name:DUNCAN, BRANDI (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 N BROADWAY ST
Mailing Address - Street 2:UNIT P
Mailing Address - City:POTEAU
Mailing Address - State:OK
Mailing Address - Zip Code:74953-2009
Mailing Address - Country:US
Mailing Address - Phone:918-348-5401
Mailing Address - Fax:
Practice Address - Street 1:2300 N BROADWAY ST
Practice Address - Street 2:UNIT P
Practice Address - City:POTEAU
Practice Address - State:OK
Practice Address - Zip Code:74953-2009
Practice Address - Country:US
Practice Address - Phone:918-348-5401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-25
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist