| NPI | 1437301413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD OLIVER Dean 573-884-6075 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 104127) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |