Individual
MS. LINDA DANELLE WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
932 E 34TH ST, JOPLIN, MO 64804-3932
(417) 347-3082
(417) 347-8410
Mailing address
1012 HILLSIDE DR, WEBB CITY, MO 64870-3304
(417) 673-6844
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2001013164
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09140445
ASHA MEMBER NUMBER
—
01
—
2001013164
MISSOURI STATE LICENSE
MO
Enumeration date
03/16/2007
Last updated
07/08/2007
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