| NPI | 1669500773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA E WAUGH Administrator 417-434-5848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MO 266594) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |