Pamela Bryant-Bush
Individual provider Active NPI Speech-Language Pathologist · Raytown, MO
NPI 1275957904 · NPPES record last updated Feb 17, 2014
Key facts
- NPI
- 1275957904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2013045576 (MO)
- Practice address
- 8525 Arlington Ave
Raytown, MO 64138-3338 - Phone
- (816) 982-2041
- NPI assigned
- Feb 17, 2014
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013045576 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2013045576 | MO | Yes |
Addresses
Primary practice location
8525 Arlington Ave
Raytown, MO 64138-3338
Mailing address
8525 Arlington Ave
Raytown, MO 64138-3338
Phone (816) 982-2041
Other providers in Raytown, MO
- Naomi J Britton
- Jennifer Chrystal Brotton
- Santina Dianne Brown
- Shirley Brummett
- Merlene Gay Brush
- James R Bryant
- Kayla Marie Bryant
- Ashlynn Sundvold Bryson
- Deborah L Bua
- Jonathan Wesley Thomas Bundrick
All providers in Raytown, 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 17, 2014. 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.