Rachelle Elisabeth Brosnan, M.S., CCC-SLP
Speech-Language Pathologist, in Jackson, MO. Individual provider (NPI-1).
NPI number1164034781
StatusActive
Last updated in NPPESSep 18, 2020
Details
- NPI
- 1164034781
- Entity type
- Individual (NPI-1)
- Name
- Rachelle Elisabeth Brosnan
- Credential
- M.S., CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2020
- Certification date
- Sep 18, 2020
- Last updated
- Sep 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 2017005986 | MO | Yes |
Practice location
614 E Adams StJackson, MO 63755-2150
Phone 573-243-9501
Mailing address
614 E Adams StJackson, MO 63755-2150
Phone 573-243-9501
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