Provider Demographics
NPI:1457870198
Name:SCHWAN, BRIANNA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:SCHWAN
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 1:2602 TIMBERWOOD DR UNIT 19
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-8534
Mailing Address - Country:US
Mailing Address - Phone:307-254-1479
Mailing Address - Fax:
Practice Address - Street 1:3631 WADLOW RANCH RD
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-7500
Practice Address - Country:US
Practice Address - Phone:307-399-2876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-13
Last Update Date:2017-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist