Individual
MRS. AMY L WETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
LEXINGTON SCHOOL DIST R V, 100 S 13TH ST, LEXINGTON, MO 64067-1402
(660) 259-4369
(660) 259-4992
Mailing address
100 S 13TH ST, LEXINGTON, MO 64067-1402
(660) 259-4369
(660) 259-4992
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2005025497
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
467464301
—
MO
Enumeration date
04/16/2007
Last updated
02/20/2009
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