Ann Marie Brewster, M.A.,CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Perryville, MO
NPI 1124159926 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124159926
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2003018373 (MO)
- Practice address
- 2336 PCR 200
Perryville, MO 63775-8413 - Phone
- (573) 517-7362
- NPI assigned
- Mar 7, 2007
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003018373 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2003018373 | MO | Yes |
Addresses
Primary practice location
2336 PCR 200
Perryville, MO 63775-8413
Mailing address
2336 PCR 200
Perryville, MO 63775-8413
Phone (573) 517-7362
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2003018373 | Other | MO | SLP MO LICENSE |
Other providers in Perryville, MO
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- Cynthia M Bradley
- Robert Wright Brodie
- Brost & Strohmeyer Family Eye Care PC
- Dalton Brown
- Gavin James Brown
- Nicole Dawn Brown
All providers in Perryville, 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 Jul 8, 2007. 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.