Individual
BRANDI BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 N 4TH AVE, OZARK, MO 65721-6656
(417) 582-5900
Mailing address
302 N 4TH AVE, OZARK, MO 65721-6656
(417) 582-5900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2012017952
MO
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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