BRIE BOLANDER


Address: 13900 W Burleigh Rd, Brookfield, WI 53005-3019
Phone: 2627810550

BRIE BOLANDER (NPI# 1124572458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124572458
Entity Type Individual
Full Name BRIE BOLANDER
Practice Address 13900 W Burleigh Rd
Brookfield
WI 53005-3019
Mailing Address 17280 W North Ave
Suite 104
Brookfield
WI 53045-4366
Practice Telephone 2627810550
Mailing Telephone 2627800707
Mailing Fax Number 2627800717
Enumeration Date 2016-08-03
Last Update Date 2016-08-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 4147-154 WI Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 1548242829 05
WI MEDICARE# 52-6552 01

Office Location

Street Address 13900 W BURLEIGH RD
City BROOKFIELD
State WI
Zip Code 53005-3019

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1780142588 Ashley Wing Registered Nurse 405 Bishops Way, Apt 555, Brookfield, WI 53005 2019-03-11
1407370398 Tombolo, LLC Clinic/Center 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 2017-08-01
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1669926598 Mackenzie Rondeau Physical Therapist 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 2016-08-09
1699159319 Charles Alan Kass Dentist 12720 W. North Avenue, Brookfield, WI 53005 2015-07-13
1164804274 Mary-catherine Nimphius Counselor 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 2015-06-25
1528447034 Weighless Md, LLC Dietitian, Registered 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 2015-05-29
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821606609 Gail Jaffe Speech-Language Pathologist 21 White Pine Dr, Brookfield, CT 06804-3453 2020-07-17
1073164117 Aac Helper, LLC Speech-Language Pathologist 3731 Blanchan Ave, Brookfield, IL 60513-1503 2019-09-20
1215597430 Kristina Nicole Tomaras Speech-Language Pathologist 8934 Southview Ave, Brookfield, IL 60513-2044 2019-06-19
1629635313 Hallie Mackenzie Ritchay Speech-Language Pathologist Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 2019-05-29
1447720354 Mary Elizabeth Gill Speech-Language Pathologist 3524 Maple Ave, Brookfield, IL 60513-1250 2018-12-04
1497246235 Maria Manby Speech-Language Pathologist 2660 Bartlett Dr, Brookfield, WI 53045-1716 2018-05-29
1295238590 Kristen Monacella Speech-Language Pathologist 3009 Vernon Ave, Brookfield, IL 60513-1003 2018-03-13
1538672225 Elizabeth M Klinge Arenas Speech-Language Pathologist 3534 Vernon Ave, Brookfield, IL 60513-1421 2017-11-16
1730629668 Time To Talk Speech-Language Pathologist 4234 Arthur Ave, Brookfield, IL 60513-1914 2017-02-25
1881149136 Kathryn Koepsell Speech-Language Pathologist 16100 Cornell Ct, Brookfield, WI 53005-3253 2016-08-16
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Competitor

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City BROOKFIELD
Zip Code 53005

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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