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NPI Code Detail

MEDICARE: AVERY BROOKS

MEDICARE: AVERY BROOKS
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1699503797
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVERY BROOKS
Provider Business Mailing Address
First Line : 2864 S NETTLETON AVE
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-5970
Country : US
Telephone Number : 417-605-7100
Fax Number : 417-708-0889
Provider Business Practice Location Address
First Line : 2864 S NETTLETON AVE
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-5970
Country : US
Telephone Number : 417-605-7100
Fax Number : 417-708-0889
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2024
Last Update Date : 02/03/2026

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Directions to “ AVERY BROOKS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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