Individual provider · Type 1 NPI

Kelley Suzanne Bumgardaner, MA, CCC-SLP

Speech-Language Pathologist · Desloge, MO

NPI number 1720154248 Active

Practice location

801 Brim St
Desloge, MO 63601-3441

Call (573) 431-0223 Map

Fax (573) 431-0251

Mailing address

PO Box 625, 203 Kingsbury Blvd.
Fredericktown, MO 63645-0625

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XMO01965 (MO)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1720154248

Kelley Suzanne Bumgardaner, MA, CCC-SLP's National Provider Identifier is 1720154248, issued on Nov 27, 2006. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Desloge, MO. The record was last updated on Jul 8, 2007.