Provider Demographics
NPI:1477015774
Name:SCHRUEFER, BRENDA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:
Last Name:SCHRUEFER
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 1:3611 KLAUSMIER RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4818
Mailing Address - Country:US
Mailing Address - Phone:443-717-2640
Mailing Address - Fax:
Practice Address - Street 1:3611 KLAUSMIER RD
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-4818
Practice Address - Country:US
Practice Address - Phone:443-717-2640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-04
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist