Organization
EXCEPTIONAL EQUESTRIANS OF THE MISSOURI VALLEY, INC.
Active
Other names
EEMV Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
KYLA SOMERVILLE SLP-A (ADMIN. MANAGER)
(636) 390-2141
Entity
Organization
Contact information
Practice address
785 YELLOW FINCH LN, WASHINGTON, MO 63090-5457
(636) 390-2141
(636) 239-7011
Mailing address
785 YELLOW FINCH LN, WASHINGTON, MO 63090-5457
(636) 390-2141
(636) 239-7011
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
2015009737
MO
235Z00000X
Speech-Language Pathologist
Primary
2011018918
MO
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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