Organization
SOUTHWEST MISSOURI PEDIATRIC SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE FOWLER NEWHOUSE SLP (PRESIDENT)
(866) 880-6798
Entity
Organization
Contact information
Practice address
2275 S OAKBROOK AVE, SPRINGFIELD, MO 65809-2992
(866) 880-6798
(417) 890-9127
Mailing address
2275 S OAKBROOK AVE, SPRINGFIELD, MO 65809-2992
(866) 880-6798
(417) 890-9127
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2002025840
MO
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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