Brenda Jean Boswell, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Kearney, MO
NPI 1164564258 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164564258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2003019551 (MO)
- Practice address
- 1009 E 16TH St
Kearney, MO 64060-7636 - Phone
- (816) 223-2934
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003019551 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2003019551 | MO | Yes |
Addresses
Primary practice location
1009 E 16TH St
Kearney, MO 64060-7636
Mailing address
1009 E 16TH St
Kearney, MO 64060-7636
Phone (816) 223-2934
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- Angela Bennett
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- Christina Joan Blanton
- Barry Vincent Bowles
- Dolores E Branscom
- Larry Briscoe
- Traci Buntenbah
- Grant Charles Burnett
All providers in Kearney, 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.