Brooke Alexis Modderman
Brooke Alexis Modderman is a Speech-Language Pathologist in Virginia Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2024.
- Licensed in
- VA
- In the registry since
- 2024
Practice location Address checks out
4668 Pembroke Blvd Ste 115Virginia Beach, VA 23455-6423
Phone: (757) 648-8562
Fax: (757) 648-8562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 2204001455 (VA) |
|---|
Record details
| NPI number | 1295566859 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 13, 2024 |
| Last updated in NPPES | August 13, 2024 |
| Certification date | August 13, 2024 |
| Mailing address | 4668 Pembroke Blvd Ste 115, Virginia Beach, VA 23455-6423 |
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