Brenda D Bohnenblust, SLP
Individual provider Active NPI Speech-Language Pathologist · Clay Center, KS
NPI 1962642405 · NPPES record last updated Feb 24, 2009
Key facts
- NPI
- 1962642405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 295 (KS)
- Practice address
- 715 Liberty St
Clay Center, KS 67432-1528 - Phone
- (615) 896-6400
- NPI assigned
- Feb 24, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 295 | KS | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 295 | KS | Yes |
Addresses
Primary practice location
715 Liberty St
Clay Center, KS 67432-1528
Mailing address
2125 Broughton Rd
Clay Center, KS 67432-7442
Phone (615) 896-6400
Other providers in Clay Center, KS
- Eric Anderson
- Associates in Primary Care, Inc.
- Yana Bowen
- Tony Brown
- Clay Center Family Dental Care
- Clay Center Family Physicians PA
- Clay Center Family Physicians PA
All providers in Clay Center, KS · Speech-Language Pathologist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2009. 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.