| NPI Details | |
|---|---|
| NPI | 1093992505 |
| Gender | Female |
| Enumeration Date | 01/28/2008 |
| Last Updated | 01/28/2008 |
| Entity Type | Individual |
| Active | Over 9 years ago |
| Practice Location | |
|---|---|
| 419 DUSTIN CT BONNE TERRE MO, 63628-3714, US |
|
| Phone | (573) 518-1203 |
| Fax | |
| Business Location | |
|---|---|
| 419 DUSTIN CT BONNE TERRE MO, 63628-3714, US |
|
| Phone | (573) 518-1203 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 235Z00000X |
| License State | Missouri |
| License Number | 2003017531 |
| Remove 1093992505 NPI Number | |
According to our database, Brianna M Shelton M.S., CCC-SLP NPI is 1093992505, taxonomy code is 235Z00000X and license number is 2003017531, license state is located at Missouri. Brianna M Shelton M.S., CCC-SLP physically located at 419 Dustin Ct, Bonne Terre MO, 63628-3714. NPI Number Brianna M Shelton M.S., CCC-SLP has the Individual type.
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1093992505 NPI number is provided on an as is basis without warranty of any kind. 1093992505 is maintained by the National Plan & Provider Enumeration System. The contents of Brianna M Shelton M.S., CCC-SLP are for informational purposes only.
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