Individual
KATIE BRYNDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 E TERRA LN, O FALLON, MO 63366-2725
(636) 272-1059
Mailing address
1059 STONE BLUFF DR, FENTON, MO 63026-8508
(314) 605-8948
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2016022743
MO
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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