Stephanie Jene' (Smith) Bradsha in Carl Junction - Speech-language Pathologist

Stephanie Jene' (Smith) Bradsha - NPI 1013172394

Stephanie Jene' (Smith) Bradsha is a Speech-language Pathologist in Carl Junction, Missouri. Stephanie Jene' (Smith) Bradsha practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Stephanie Jene' (Smith) Bradsha is 1013172394. The last update date is 2008-07-25.

Stephanie Jene' (Smith) Bradsha's current location address is 402 Angel Lea, Carl Junction, Missouri. You can contact this provider via phone number 4176496383. The mailing address for Stephanie Jene' (Smith) Bradsha is 402 Angel Lea, Carl Junction, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephanie Jene' (Smith) Bradsha
Address 402 Angel Lea, Carl Junction, Missouri
Phone Number 4176496383
Fax Number
Sole Proprietor N
Credentials CCC-SLP

NPI Number Detail

NPI Number 1013172394
Provider Enumeration Date 2008-07-25
Last Updated Date 2008-07-25

Provider Mailing Address Detail

Address 402 Angel Lea
City Carl Junction
State Missouri (MO)
Post Code 648349329
Phone Number 4176496383
Fax Number

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 2008017253
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

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FAQs about Stephanie Jene' (Smith) Bradsha

What is the unique identifier code issued to Stephanie Jene' (Smith) Bradsha by the Centers for Medicare & Medicaid Services (CMS)?

The Stephanie Jene' (Smith) Bradsha has been assigned the NPI (National Provider Identifier) 1013172394. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Stephanie Jene' (Smith) Bradsha is geographically located?

The Stephanie Jene' (Smith) Bradsha is physically situated at the following location: 402 Angel Lea, Carl Junction, MO, 648349329.

What is Stephanie Jene' (Smith) Bradsha's specialized field of practice, and what is the corresponding taxonomy classification code?

The Stephanie Jene' (Smith) Bradsha's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.

On what date was the 1013172394 assigned to Stephanie Jene' (Smith) Bradsha?

The Stephanie Jene' (Smith) Bradsha was issued its 1013172394 on 2008-07-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Stephanie Jene' (Smith) Bradsha's details last updated?

The information pertaining to the Stephanie Jene' (Smith) Bradsha, including its address, specialty, and other details, was most recently updated on 2008-07-25.

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