Provider Demographics
NPI:1578838884
Name:MOREL, BRYNA LYNN KAREN (SLP)
Entity Type:Individual
Prefix:MS
First Name:BRYNA
Middle Name:LYNN KAREN
Last Name:MOREL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:656 GLADES CIR APT 200
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-7136
Mailing Address - Country:US
Mailing Address - Phone:347-843-5358
Mailing Address - Fax:
Practice Address - Street 1:656 GLADES CIR APT 200
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-7136
Practice Address - Country:US
Practice Address - Phone:347-843-5358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA18802235Z00000X
NY021642-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist