Facts
- Status
- A
- Credential
- M.A., CCC-SLP
- Type
- Individual
- Enumeration date
- 2010-04-08
- Last updated
- 2010-04-08
Specialties
Licenses
- License MO
- 107511
Location
- Practice location
- 6600A ROYAL ST STE 105
- City
- PLEASANT VALLEY MO
- Postal code
- 640688727
- Phone
- 816-781-0177
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.