Individual
BRYONY STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP. L-SLP
Contact information
Practice address
25190 BLOOD RIVER RD, SPRINGFIELD, LA 70462
(225) 294-3398
Mailing address
25190 BLOOD RIVER RD, SPRINGFIELD, LA 70462
(225) 294-3398
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5338
LA
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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