Sara Jane Bruner
Individual provider Active NPI Speech-Language Pathologist · Savannah, MO
NPI 1780723940 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1780723940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 113029 (MO)
- Practice address
- 1208 W Barkley St
Savannah, MO 64485-9307 - Phone
- (816) 324-4840
- NPI assigned
- Feb 5, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113029 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 113029 | MO | Yes |
Addresses
Primary practice location
1208 W Barkley St
Savannah, MO 64485-9307
Mailing address
1208 W Barkley St
Savannah, MO 64485-9307
Phone (816) 324-4840
Other providers in Savannah, MO
- Andrew County Nursing Home District
- Anew Healthcare Operations - Savannah, LLC
- Anne Marie Barr
- Bky Healthcare of Savannah, Inc.
- Preston Bowers
- Patricia Diane Buck
- Brandy Bumphrey
- Kylie Renee Cervantes
- Amanda Chambers
- Chaney Chiropractic LLC
All providers in Savannah, 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.