| Pediatric Place, Llc | |
|
210 S 2nd St Ste A Clinton MO 64735-2172 | |
| (660) 885-2394 | |
| (660) 383-1650 |
| Full Name | Pediatric Place, Llc |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 210 S 2nd St Ste A, Clinton, Missouri |
| Authorized Official Name and Position | Carmen L Rathert (CO-OWNER) |
| Authorized Official Contact | 6608852394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Place, Llc 210 S 2nd St Ste A Clinton MO 64735-2172 Ph: (660) 885-2394 | Pediatric Place, Llc 210 S 2nd St Ste A Clinton MO 64735-2172 Ph: (660) 885-2394 |
| NPI Number | 1437819364 |
|---|---|
| Provider Enumeration Date | 12/20/2021 |
| Last Update Date | 12/20/2021 |
| Certification Date | 12/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437819364 | NPI | - | NPPES |
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