Christy Bridges
Individual provider Active NPI Speech-Language Pathologist · Marshall, MO
NPI 1114311982 · NPPES record last updated Mar 19, 2015
Key facts
- NPI
- 1114311982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2013025504 (MO)
- Practice address
- 860 W Vest St
Marshall, MO 65340-1666 - Phone
- (660) 886-7414
- NPI assigned
- Mar 19, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013025504 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2013025504 | MO | Yes |
Addresses
Primary practice location
860 W Vest St
Marshall, MO 65340-1666
Mailing address
860 W Vest St
Marshall, MO 65340-1666
Phone (660) 886-7414
Other providers in Marshall, MO
- Adrienne Leigh Beumer
- Keith Bishop
- Judith Rene Boland
- Boyer ABA Services, LLC
- Emily Ann Braun
- Paul Thomas Brizendine
- Sonal Patel Brizendine
- Brian T Brown
- Karla Bruntzel
- Madison Bugman
All providers in Marshall, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.