Provider Demographics
NPI:1992910657
Name:BRILL, KARI BROOKE (BA)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:BROOKE
Last Name:BRILL
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5147 NW 121ST DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-3502
Mailing Address - Country:US
Mailing Address - Phone:954-341-9444
Mailing Address - Fax:954-341-2252
Practice Address - Street 1:11435 W PALMETTO PARK RD STE J
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-2630
Practice Address - Country:US
Practice Address - Phone:561-702-6141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI 11442355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant