Most Relevant Information
Provider Data
| NPI Number: | 1003390006 |
| Provider Name: | BRENDA FRANK CCC-SLP/L |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 146.007323 |
Most Important Dates
| Enumeration Date: | 09/17/2018 |
| Last Updated: | 09/17/2018 |
Provider Practice Location
2727 W KRAUSE AVE
PEORIA
IL
616052906
Practice Location Phone/Fax
| Phone: | 3096726522 |
| Fax: | 3096726523 |
Provider Mailing Location
2727 W KRAUSE AVE
PEORIA
IL
616052906
Provider Mailing Phone/Fax
| Phone: | 3096726522 |
| Fax: | 3096726523 |