Rebecca L. Briggs, MS, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Bolivar, MO

NPI 1497947113 · NPPES record last updated Aug 16, 2007

Key facts

NPI
1497947113
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
112237 (MO)
Practice address
524 W Madison St
Bolivar, MO 65613-1945
Phone
(417) 326-5291
NPI assigned
Aug 16, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
112237MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bolivar R-1 Schools Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 112237 MO Yes

Addresses

Primary practice location

524 W Madison St
Bolivar, MO 65613-1945

Mailing address

524 W Madison St
Bolivar, MO 65613-1945
Phone (417) 326-5291

Other providers in Bolivar, MO

All providers in Bolivar, MO · Speech-Language Pathologist in Missouri

Sources for this page

Verify at the official NPI Registry.