| Doctor Name: | BARBARA ANN BRADDOCK |
| NPI Number: | 1184811887 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD MHS CCC-SLP |
| License Number: | 01568 |
| Business Practice Address: | 1465 S Grand Blvd Saint Louis, MO - 631041003 |
| Business Phone Number: | 3142684101 |
| Business Fax Number: | 3145775379 |
| Mailing Address: | 3691 Rutger St, SAINT LOUIS |
| State: | MO |
| Postal Code: | 631102515 |
| Phone Number: | 3149776828 |
| Fax Number: | 3149776872 |
| NPI Enumeration Date: | 09/27/2007 |
| NPI Last Update Date: | 08/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 01568 |
| 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 |