Provider Demographics
NPI:1841309937
Name:BROOKS, ANNALEE SHEREE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ANNALEE
Middle Name:SHEREE
Last Name:BROOKS
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 1:344 SANDSTONE DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:CO
Mailing Address - Zip Code:80534-9461
Mailing Address - Country:US
Mailing Address - Phone:360-907-1030
Mailing Address - Fax:
Practice Address - Street 1:344 SANDSTONE DR
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:CO
Practice Address - Zip Code:80534-9461
Practice Address - Country:US
Practice Address - Phone:360-907-1030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
12099716235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist