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Individual

MRS. AMY L MCDONALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
1801 NW VESPER ST, BLUE SPRINGS, MO 64015-3219
(816) 874-3200
Mailing address
1801 NW VESPER ST, BLUE SPRINGS, MO 64015-3219
(816) 874-3200

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2005029537
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
467175709
MO
Enumeration date
06/29/2007
Last updated
10/12/2022
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