Individual ProviderCharlotte Marie BroegSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address61 Beech Dr, Edgewood, KY 41017-2302(859) 331-8921(859) 801-1448PECOS EnrollmentBased on the most recent information from CMS, provider Charlotte Marie Broeg does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1861613937Provider TypeIndividualFull NameBroeg, Charlotte MarieTitleMrs.CredentialSLPGenderFemaleSole ProprietorYesEnumeration Date5/2/2007Last Updated5/12/2020Contact InformationPractice LocationPractice Address61 Beech Dr, Edgewood, KY 41017-2302Phone(859) 331-8921FaxUnlisted FaxMailing LocationMailing Address61 Beech Dr, Edgewood, KY 41017-2302Phone(859) 801-1448Fax(859) 435-7088Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense142637Kentucky