Individual
MRS. STACY M DEPRIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
302 N 4TH AVE, OZARK, MO 65721-6656
(417) 582-5900
(417) 582-5960
Mailing address
302 N 4TH AVE, PO BOX 166, OZARK, MO 65721-6656
(417) 582-5900
(417) 582-5960
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
118227
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
465127512
—
MO
Enumeration date
01/04/2008
Last updated
12/08/2015
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