Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Brande Gwen Van Brocklin, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1316743016

MS. Brande Gwen Van Brocklin, MACCC-SLP is a Speech-Language Pathologist in Los Banos, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

633 Monroe Ave
Los Banos, CA 93635-4718
Phone: (619) 756-8070
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 33487 (CA)

Record details

NPI number1316743016
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorNo
NPI enumeratedFebruary 22, 2025
Last updated in NPPESFebruary 22, 2025
Certification dateFebruary 22, 2025

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