Full Name | |
---|---|
Type | Facility |
Speciality | Local Education Agency (lea) |
Location | 2nd And Maple, Hume, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073718136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 488664069 (Missouri) | Secondary |
251300000X | Local Education Agency (lea) | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 402, Hume, MO 64752-0402 Ph: (660) 643-7411 | 2nd And Maple, Hume, MO 64752 Ph: (660) 643-7411 |