Most Relevant Information
Provider Data
| NPI Number: | 1003394362 |
| Provider Name: | BRANDI CLARY MS CCC SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 2016017138 |
Most Important Dates
| Enumeration Date: | 07/30/2018 |
| Last Updated: | 03/20/2020 |
Provider Practice Location
3545 S NATIONAL AVE
SPRINGFIELD
MO
658077310
Practice Location Phone/Fax
| Phone: | 4172694601 |
| Fax: |
Provider Mailing Location
PO BOX 4046
SPRINGFIELD
MO
658084046
Provider Mailing Phone/Fax
| Phone: | 4172695712 |
| Fax: | 4172697567 |