Doctor Name: | MRS. ANN MARIE BREWSTER |
NPI Number: | 1124159926 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.,CCC-SLP |
License Number: | 2003018373 |
Business Practice Address: | 2336 Pcr 200 Perryville, MO - 637758413 |
Business Phone Number: | 5735177362 |
Business Fax Number: | |
Mailing Address: | 2336 Pcr 200, PERRYVILLE |
State: | MO |
Postal Code: | 637758413 |
Phone Number: | 5735177362 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2003018373 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |