Organization
COLUMBIA PUBLIC SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE ANN LASLEY (SPEECH-LANGUAGE PATHOLOGIST)
(573) 819-5399
Entity
Organization
Contact information
Practice address
1818 W WORLEY ST, COLUMBIA, MO 65203-1038
(573) 214-3462
Mailing address
3551 WELLINGTON DR, COLUMBIA, MO 65202-3432
(573) 819-5399
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12495034
—
MO
Enumeration date
04/11/2018
Last updated
04/11/2018
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