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Individual

KATHRYN L NEIGHBOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP/L

Contact information

Practice address
124 PRAIRIE BLUFFS DR, FORISTELL, MO 63348
(850) 774-7421
Mailing address
124 PRAIRIE BLUFFS DR, FORISTELL, MO 63348
(850) 774-7421

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02070
MO
235Z00000X
Speech-Language Pathologist
SA2336
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000904500
FL
05
1032733
MO
Enumeration date
05/17/2007
Last updated
02/12/2016
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