MRS. Kelley Suzanne Bumgardaner, MA, CCC-SLP

NPI #1720154248 in Desloge, Missouri

Provider Information

NPI Number
1720154248
Entity Type
Individual
Name
MRS. Kelley Suzanne Bumgardaner, MA, CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MA, CCC-SLP
Enumeration Date
Nov 27, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
801 BRIM ST
ZIP Code
63601-3441
Phone
(573) 431-0223

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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