MEDICARE: BRITTANY LAUREN KNEBEL MS CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	2019018262	MO

General Provider Information

NPI Number	:	1265147110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY LAUREN KNEBEL MS CCC-SLP

Provider Business Mailing Address
First Line	:	3545 S NATIONAL AVE
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65807-7310
Country	:	US
Telephone Number	:	417-269-5500
Fax Number	:

Provider Business Practice Location Address
First Line	:	3545 S NATIONAL AVE
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65807-7310
Country	:	US
Telephone Number	:	417-269-5500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2023
Last Update Date	:	02/02/2026

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Directions to “ BRITTANY LAUREN KNEBEL MS CCC-SLP” Practice Location

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