Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Barbara Ann Braddock, PHDMHSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1184811887

Barbara Ann Braddock, PHDMHSCCC-SLP is a Qualified Speech Language Pathologist in Saint Louis, Missouri. Graduated from University of Missouri, Columbia School of Medicine in 2007, 19 years ago. Licensed in Missouri.

Years since qualifying
19
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
MO
In the registry since
2007
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Practice location Address checks out

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone: (314) 268-4101
Fax: (314) 577-5379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 01568 (MO)

Record details

NPI number1184811887
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHDMHSCCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 27, 2007
Last updated in NPPESAugust 26, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated

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