Provider Demographics
NPI:1467133272
Name:SLONE, BRANDI LEANN (CPSS)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:LEANN
Last Name:SLONE
Suffix:
Gender:F
Credentials:CPSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 NEWBY RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-9421
Mailing Address - Country:US
Mailing Address - Phone:859-407-9575
Mailing Address - Fax:
Practice Address - Street 1:441 NEWBY RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-9421
Practice Address - Country:US
Practice Address - Phone:859-407-9575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist