Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Demetri Antoni Bruner, MCD, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1922582014

Demetri Antoni Bruner, MCD, CCC-SLP is a Speech-Language Pathologist in Jonesboro, Arkansas. Licensed in Arkansas. Registered with an NPI since 2018.

Licensed in
AR
In the registry since
2018
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1699 Red Wolf Blvd
Jonesboro, AR 72401-5442
Phone: (870) 336-0021
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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 4348 (AR)

Record details

NPI number1922582014
Entity typeIndividual (Type 1)
GenderMale
Credentials MCD , CCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 24, 2018
Last updated in NPPESSeptember 24, 2018

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