Healthcare Provider Details

I. General information

NPI: 1033025085
Provider Name (Legal Business Name): BRYN ELIZABETH MEYR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 S HOPE ST
JACKSON MO
63755-2800
US

IV. Provider business mailing address

215 MARIGOLD ST APT 2
JACKSON MO
63755-6851
US

V. Phone/Fax

Practice location:
  • Phone: 573-243-9575
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2026039745
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: