Christy Taryn Brewer
Individual provider Active NPI Speech-Language Pathologist · De Soto, MO
NPI 1174080642 · NPPES record last updated Feb 21, 2019
Key facts
- NPI
- 1174080642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 3260 Baisch Dr
De Soto, MO 63020-5046 - Phone
- (636) 586-2291
- NPI assigned
- Feb 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspen Valley Senior Homes, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
3260 Baisch Dr
De Soto, MO 63020-5046
Mailing address
16566 Branchwood Dr
Wildwood, MO 63011-1845
Phone (636) 346-9634
Other providers in De Soto, MO
- Nancy Barr
- Kelly Nicole Barrow
- BB&K, Inc.
- Jasmine Blanks
- Ashley Marie Bolton
- Tessa Ann Burgard
- Natalie Burgdorf
- Rebecca Ann Capriglione
- Jeffrey D Carpenter
- Chesntut Health Systems, Inc.
All providers in De Soto, 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 Feb 21, 2019. 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.