Provider Demographics
NPI:1427299031
Name:BEHRENS, ANNA BRINDISI (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ANNA
Middle Name:BRINDISI
Last Name:BEHRENS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-3308
Mailing Address - Country:US
Mailing Address - Phone:603-803-2945
Mailing Address - Fax:
Practice Address - Street 1:54 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3308
Practice Address - Country:US
Practice Address - Phone:603-803-2945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-11
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1692235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist