| Tracie Rhoden Brazell, MA-CCC-SLP | |
|
43 Aviary Ln, Johnston, SC 29832-2658 | |
| (803) 275-3767 | |
| Not Available |
| Full Name | Tracie Rhoden Brazell |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 43 Aviary Ln, Johnston, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497781306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP005513 (Georgia) | Secondary |
| 235Z00000X | Speech-language Pathologist | 3298 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tracie Rhoden Brazell, MA-CCC-SLP 43 Aviary Ln, Johnston, SC 29832-2658 Ph: (803) 275-3767 | Tracie Rhoden Brazell, MA-CCC-SLP 43 Aviary Ln, Johnston, SC 29832-2658 Ph: (803) 275-3767 |
Mrs. Keelie Yonce Gossett, MSP, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1304 Calhoun St, Johnston, SC 29832 Phone: 803-275-2041 | |
Pediatric Therapy Achievements, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 43 Aviary Ln, Johnston, SC 29832 Phone: 803-640-3984 |