Provider Demographics
NPI:1417188293
Name:BRANDT, PAULA K (MS,SLP)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:K
Last Name:BRANDT
Suffix:
Gender:F
Credentials:MS,SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 CHAMBER PLAZA
Mailing Address - Street 2:DIVERSIFIED HUMAN SERVICES, INC.
Mailing Address - City:CHARLEROI
Mailing Address - State:PA
Mailing Address - Zip Code:15022
Mailing Address - Country:US
Mailing Address - Phone:724-489-8096
Mailing Address - Fax:724-489-9373
Practice Address - Street 1:301 CHAMBER PLAZA
Practice Address - Street 2:DIVERSIFIED HUMAN SERVICES, INC.
Practice Address - City:CHARLEROI
Practice Address - State:PA
Practice Address - Zip Code:15022
Practice Address - Country:US
Practice Address - Phone:724-489-8096
Practice Address - Fax:724-489-9373
Is Sole Proprietor?:No
Enumeration Date:2009-07-28
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL009633235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist