Individual
BARBARA ANN BRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD MHS CCC-SLP
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 268-4101
(314) 577-5379
Mailing address
3691 RUTGER ST, SAINT LOUIS, MO 63110-2515
(314) 977-6828
(314) 977-6872
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01568
MO
Other
Enumeration date
09/27/2007
Last updated
08/26/2015
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