Individual
NAOMI E BRUNNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1500 NW MOCK AVE, STE C, BLUE SPRINGS, MO 64015-3101
(660) 624-0683
Mailing address
1500 NW MOCK AVE STE C, BLUE SPRINGS, MO 64015-3101
(816) 598-8646
(816) 598-8807
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2013000212
MO
Other
Enumeration date
01/07/2013
Last updated
06/17/2019
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