Mrs Penny Wickham Brodie, CCC-SLP is a
Speech-language Pathologist based in Forestburgh, New York. Mrs Penny Wickham Brodie is licensed to practice in New York (license number 0007772-1) and her current practice location is
22 Tannery Rd, Forestburgh, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 707-4936.
NPI number for Mrs Penny Wickham Brodie is 1902102551 and her current mailing address is 22 Saint John St, Monticello, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902102551.
Healthcare Provider's Profile
| Full Name | Mrs Penny Wickham Brodie |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 22 Tannery Rd, Forestburgh, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902102551
- Provider Enumeration Date: 01/31/2011
- Last Update Date: 07/15/2021
Medical Identifiers
Medical identifiers for Mrs Penny Wickham Brodie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902102551 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 0007772-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Penny Wickham Brodie is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Penny Wickham Brodie, CCC-SLP
22 Saint John St,
Monticello, NY 12701-2118
Ph: (845) 794-4020 | Mrs Penny Wickham Brodie, CCC-SLP
22 Tannery Rd,
Forestburgh, NY 12777-6100
Ph: (845) 707-4936 |
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