Provider Demographics
NPI:1134443773
Name:DRUMWRIGHT, BRANDY MICOLE (CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:BRANDY
Middle Name:MICOLE
Last Name:DRUMWRIGHT
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:BRANDY
Other - Middle Name:HINES
Other - Last Name:DRUMWRIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2210 OAK BARREL LN
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-5704
Mailing Address - Country:US
Mailing Address - Phone:615-522-1050
Mailing Address - Fax:
Practice Address - Street 1:2210 OAK BARREL LN
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-5704
Practice Address - Country:US
Practice Address - Phone:615-522-1050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-25
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4095235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist