| Missouri Speech Therapy | |
|
1009 Hwy B, Bolivar, MO 65613-8252 | |
| (417) 326-6754 | |
| Not Available |
| Full Name | Missouri Speech Therapy |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 1009 Hwy B, Bolivar, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821400474 | NPI | - | NPPES |
| 1134399710 | Other | MO | MEDICAID WAIVER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 106670 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Speech Therapy 4115 101st Rd, Bolivar, MO 65613-8608 Ph: (417) 326-9464 | Missouri Speech Therapy 1009 Hwy B, Bolivar, MO 65613-8252 Ph: (417) 326-6754 |
Kelly Rinker, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 452 S Springfield Ave, Bolivar, MO 65613 Phone: 417-326-3183 Fax: 417-326-3184 | |
Laura M Entwisle, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 524 W Madison St, Bolivar, MO 65613 Phone: 417-326-6284 Fax: 417-326-6283 | |
Patricia Vitello, OTR Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 452 S Springfield Ave, Bolivar, MO 65613 Phone: 417-326-3183 Fax: 417-326-3184 | |
Karen Testerman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 524 W Madison St, Bolivar, MO 65613 Phone: 417-326-5291 Fax: 417-326-3562 | |
Sandra Robertson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-328-6255 Fax: 417-777-5130 | |
Sara Montgomery, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 452 S Springfield Ave, Bolivar, MO 65613 Phone: 417-326-3183 Fax: 417-326-3184 | |
Debra Nelson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 452 S Springfield Ave, Bolivar, MO 65613 Phone: 417-326-3183 Fax: 417-326-3184 |