Provider Demographics
NPI:1699459867
Name:MCNAMARA, BRIANNA COLLEEN (MS CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:BRIANNA
Middle Name:COLLEEN
Last Name:MCNAMARA
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 SUNNYFIELD DR
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:NY
Mailing Address - Zip Code:13045-8807
Mailing Address - Country:US
Mailing Address - Phone:315-225-3588
Mailing Address - Fax:
Practice Address - Street 1:8 VALLEY VIEW DR
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045-3264
Practice Address - Country:US
Practice Address - Phone:607-758-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033022235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist