Doctor Name: | NAOMI E BRUNNER |
NPI Number: | 1780921056 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2013000212 |
Business Practice Address: | 2101 N Twyman Rd Special Services -- Claim Care Independence, MO - 640583200 |
Business Phone Number: | 8166507000 |
Business Fax Number: | |
Mailing Address: | 2101 N Twyman Rd, Special Services -- Claim Care INDEPENDENCE |
State: | MO |
Postal Code: | 640583200 |
Phone Number: | 8166507000 |
Fax Number: | |
NPI Enumeration Date: | 01/07/2013 |
NPI Last Update Date: | 01/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2013000212 |
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 |