Facts
- Status
- A
- Credential
- MA, SLP-A
- Type
- Individual
- Enumeration date
- 2024-02-08
- Last updated
- 2024-02-08
Licenses
- License MO
- 2019037551
Location
- Practice location
- 1815 SAINT EUGENE ST
- City
- SENECA MO
- Postal code
- 648659367
- Phone
- 417-499-3237
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.