Individual
MRS. DIANNE PATRICIA ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.CCC-SLP
Contact information
Practice address
3000 MAIN ST, SCOTT CITY, MO 63780-1111
(573) 264-2131
Mailing address
3000 MAIN ST, SCOTT CITY, MO 63780-1111
(573) 264-2131
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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