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HEATHER JEAN BROCKMAN CCC SLP NPI 1811926207


NPI Information

NPI: 1811926207
Provider Name: HEATHER JEAN BROCKMAN, CCC, SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
1600 MILLER TRUNK HWY BLDG C
DULUTH, MN
ZIP 55811
Phone: (218) 786-5360
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Heather Jean Brockman, CCC, SLP is a speech language pathologist in Duluth, MN. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Heather Jean Brockman, CCC, SLP NPI is 1811926207. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1600 MILLER TRUNK HWY BLDG C
DULUTH, MN
ZIP 55811-640
Phone: (218) 786-5360

The enumeration date for this NPI number is 6/30/2006 and was last updated on 12/21/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist7675MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14600814OTHERMEDICA
242568100MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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