Provider Demographics
NPI:1568529196
Name:VARAN, BRANDIE LYN (MHS)
Entity Type:Individual
Prefix:MRS
First Name:BRANDIE
Middle Name:LYN
Last Name:VARAN
Suffix:
Gender:F
Credentials:MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14356 S BIRCHDALE DR
Mailing Address - Street 2:
Mailing Address - City:HOMER GLEN
Mailing Address - State:IL
Mailing Address - Zip Code:60491-9103
Mailing Address - Country:US
Mailing Address - Phone:708-305-4967
Mailing Address - Fax:
Practice Address - Street 1:14356 S BIRCHDALE DR
Practice Address - Street 2:
Practice Address - City:HOMER GLEN
Practice Address - State:IL
Practice Address - Zip Code:60491-9103
Practice Address - Country:US
Practice Address - Phone:708-305-4967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2022-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146006638235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist