Provider Demographics
NPI:1447470703
Name:BRIGMAN, MARGARET A (MS CCC SLP)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:A
Last Name:BRIGMAN
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:438 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WARRENSBURG
Mailing Address - State:MO
Mailing Address - Zip Code:64093-1925
Mailing Address - Country:US
Mailing Address - Phone:660-747-7823
Mailing Address - Fax:
Practice Address - Street 1:438 E MARKET ST
Practice Address - Street 2:
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093-1925
Practice Address - Country:US
Practice Address - Phone:660-747-7823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO119538235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO467511309Medicaid
MO04222004OtherMISSOURI PROVIDER NUMBER