NPI 1962642405 · live from the CMS NPI Registry
Brenda D Bohnenblust, SLP
Speech-Language Pathologist, in Clay Center, KS. National Provider Identifier 1962642405, active.
NPI record
| NPI | 1962642405 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 715 Liberty St, Clay Center, KS 67432 |
| Practice phone | 615-896-6400 |
| Mailing address | 2125 Broughton Rd, Clay Center, KS 67432 |
| Enumerated | February 24, 2009 |
| Last updated | February 24, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 295 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.