Provider Demographics
NPI:1801167127
Name:BRUMIT, CARA LEIGH (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CARA
Middle Name:LEIGH
Last Name:BRUMIT
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 1:5373 THOMPSON MILL RD
Mailing Address - Street 2:
Mailing Address - City:HOSCHTON
Mailing Address - State:GA
Mailing Address - Zip Code:30548-4037
Mailing Address - Country:US
Mailing Address - Phone:770-967-6555
Mailing Address - Fax:770-965-7004
Practice Address - Street 1:5373 THOMPSON MILL RD
Practice Address - Street 2:
Practice Address - City:HOSCHTON
Practice Address - State:GA
Practice Address - Zip Code:30548-4037
Practice Address - Country:US
Practice Address - Phone:770-967-6555
Practice Address - Fax:770-965-7004
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-18
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9806235Z00000X
GASLP007693235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist