National Provider Identifier

Brenna Merry Roberts, MS CCC-SLP

Brenna Merry Roberts, MS CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (315) 532-9676.

NPI 1003395898Rochester, NYSpeech-Language Pathologist

Profile Overview

NPI
1003395898
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
August 13, 2018
Last Updated
June 01, 2021

Practice Location

  • 1000 Elmwood Ave Ste 100
  • Rochester, NY 14620-3093

Phone: (315) 532-9676

Mailing Address

  • 49 Balsam St
  • Rochester, NY 14610-1417

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1003395898
Entity Type
Individual
Last Name
Roberts
First Name
Brenna
Middle Name
Merry
Credential
MS CCC-SLP
Mailing Street Address
49 Balsam St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14610-1417
Mailing Country
US
Mailing Phone
(315) 532-9676
Practice Street Address
1000 Elmwood Ave Ste 100
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-3093
Practice Country
US
Practice Phone
(315) 532-9676
Enumeration Date
August 13, 2018
Last Updated
June 01, 2021
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
June 01, 2021
Taxonomies
Speech-Language Pathologist (235Z00000X)