Provider Demographics
NPI:1417363037
Name:MCMURRAY, BROOKE L
Entity Type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:L
Last Name:MCMURRAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 COMMUNITY DR
Mailing Address - Street 2:SUITE A-2
Mailing Address - City:TOBYHANNA
Mailing Address - State:PA
Mailing Address - Zip Code:18466-8978
Mailing Address - Country:US
Mailing Address - Phone:570-839-1273
Mailing Address - Fax:570-839-9274
Practice Address - Street 1:300 COMMUNITY DR
Practice Address - Street 2:SUITE A-2
Practice Address - City:TOBYHANNA
Practice Address - State:PA
Practice Address - Zip Code:18466-8978
Practice Address - Country:US
Practice Address - Phone:570-839-1273
Practice Address - Fax:570-839-9274
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASLO11722235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist