Provider Demographics
NPI:1043694607
Name:ROBERTSON, BRIANNA E (AUD)
Entity type:Individual
Prefix:DR
First Name:BRIANNA
Middle Name:E
Last Name:ROBERTSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 FRYE FARM RD STE 5
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-7920
Mailing Address - Country:US
Mailing Address - Phone:724-539-3750
Mailing Address - Fax:724-539-3751
Practice Address - Street 1:433 FRYE FARM RD STE 5
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-7920
Practice Address - Country:US
Practice Address - Phone:724-539-3750
Practice Address - Fax:724-539-3751
Is Sole Proprietor?:No
Enumeration Date:2015-07-14
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006424231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist