Provider Demographics
NPI:1487458105
Name:WHITNEY-SKAGGS, BRENDA (HIS)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:
Last Name:WHITNEY-SKAGGS
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:BRENDA
Other - Middle Name:
Other - Last Name:WHITNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6700 WASHINGTON AVE S
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-3405
Mailing Address - Country:US
Mailing Address - Phone:800-328-8602
Mailing Address - Fax:
Practice Address - Street 1:12315 JUDSON RD STE 210
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-3264
Practice Address - Country:US
Practice Address - Phone:210-656-0327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist