National Provider Identifier

Brianna R Borrelli, M.A.

Brianna R Borrelli, M.A. is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Spencerport, NY and a listed phone number of (585) 349-5455.

NPI 1780770172Spencerport, NYSpeech-Language Pathologist

Profile Overview

NPI
1780770172
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
October 05, 2006
Last Updated
October 15, 2018

Practice Location

  • 71 Lyell Ave
  • Spencerport, NY 14559-1899

Phone: (585) 349-5455

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1780770172
Entity Type
Individual
Last Name
Borrelli
First Name
Brianna
Middle Name
R
Credential
M.A.
Provider Other Last Name
Hardiman
Provider Other First Name
Brianna
Provider Other Middle Name
R.
Provider Other Credential Text
M.A.
Provider Other Last Name Type Code
1
Mailing Street Address
71 Lyell Ave
Mailing City
Spencerport
Mailing State
NY
Mailing ZIP Code
14559-1899
Mailing Country
US
Mailing Phone
(585) 349-5455
Practice Street Address
71 Lyell Ave
Practice City
Spencerport
Practice State
NY
Practice ZIP Code
14559-1899
Practice Country
US
Practice Phone
(585) 349-5455
Enumeration Date
October 05, 2006
Last Updated
October 15, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)
Other Identifiers
30-0213081 (NY), 30-0213081 (NY, Tax Id)