Doctor Name: | BRANDY L SKAGGS |
NPI Number: | 1235426248 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SLP |
License Number: | 2007037861 |
Business Practice Address: | 2806 Matthew Dr Sedalia, MO - 653017981 |
Business Phone Number: | 6608296450 |
Business Fax Number: | 6608278938 |
Mailing Address: | 2806 Matthew Dr, SEDALIA |
State: | MO |
Postal Code: | 653017981 |
Phone Number: | 6608296450 |
Fax Number: | 6608278938 |
NPI Enumeration Date: | 06/29/2011 |
NPI Last Update Date: | 06/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2007037861 |
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 |