Provider Demographics
NPI:1104649433
Name:ALLENDORF, BROOKE (MS CF-SLP)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:ALLENDORF
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6401 TAPROCK DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-7964
Mailing Address - Country:US
Mailing Address - Phone:469-766-2733
Mailing Address - Fax:
Practice Address - Street 1:2797 S STONEBRIDGE DR STE 8
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75072-1216
Practice Address - Country:US
Practice Address - Phone:469-331-9933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122439235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist