Provider Demographics
NPI:1811787153
Name:ARCEGA, BRIANNA LORENA (CF-SLP)
Entity type:Individual
Prefix:MRS
First Name:BRIANNA
Middle Name:LORENA
Last Name:ARCEGA
Suffix:
Gender:
Credentials:CF-SLP
Other - Prefix:MS
Other - First Name:BRIANNA
Other - Middle Name:LORENA
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 2467
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29465-2467
Mailing Address - Country:US
Mailing Address - Phone:925-998-9815
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 2467
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29465-2467
Practice Address - Country:US
Practice Address - Phone:843-605-8779
Practice Address - Fax:866-475-7515
Is Sole Proprietor?:No
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9078235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist