Provider Demographics
NPI:1225375116
Name:BRENNEMAN, JANEL LEIFER (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JANEL
Middle Name:LEIFER
Last Name:BRENNEMAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:JANEL
Other - Middle Name:BRAND
Other - Last Name:LEIFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:5333 PARK HIGHLANDS BLVD APT 41
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94521-3719
Mailing Address - Country:US
Mailing Address - Phone:310-433-5010
Mailing Address - Fax:
Practice Address - Street 1:1440 WASHINGTON BLVD STE A5
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94521-4098
Practice Address - Country:US
Practice Address - Phone:925-966-2173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-11
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30717235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist