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General NPI Number Information
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NPI Number | 1568378396
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Entity Type | Individual
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Provider Name | COURTNEY MICHELLE BRACKEY M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 6625 SW WESTVIEW RD
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City | TOPEKA
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State | KS
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Zip | 66619-1420
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Country | US
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Telephone | 785-207-6130
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Fax |
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Provider Business Mailing Address
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Address Line | 6821 SE 2ND ST
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City | TECUMSEH
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State | KS
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Zip | 66542-9659
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Country | US
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Telephone | 785-207-6130
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 4826
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License Number State | KS
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