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Contact Information

MONIQUE BRISSETTE
2200 RANDALLIA DR
FORT WAYNE, IN46805-4638
 Phone: 260-373-3202
 Fax: 260-373-4548
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MONIQUE BRISSETTE · (Female)

NPI Number 1154884898
Status Active
Credentials
Entity Individual
Enumeration date 04/10/2019
Last updated 04/10/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 46003495A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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