Provider Demographics
NPI:1841920493
Name:SCHELLER, BREANNA NICOLE (PHD, AUD)
Entity type:Individual
Prefix:
First Name:BREANNA
Middle Name:NICOLE
Last Name:SCHELLER
Suffix:
Gender:F
Credentials:PHD, AUD
Other - Prefix:
Other - First Name:BREANNA
Other - Middle Name:NICOLE
Other - Last Name:HART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PDD, AUD
Mailing Address - Street 1:PO BOX 981
Mailing Address - Street 2:
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-0981
Mailing Address - Country:US
Mailing Address - Phone:724-622-5012
Mailing Address - Fax:
Practice Address - Street 1:600 MEDICAL ARTS BLDG
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-7134
Practice Address - Country:US
Practice Address - Phone:724-545-6673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-15
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006808231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty