Organization
SPEECH PATHOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL SUE LUDWIG PHD CCC SP (OWNER SPEECH LANGUAGE PATHOLOGIST)
(573) 204-0490
Entity
Organization
Contact information
Practice address
215 W MAIN ST, SUITE B, JACKSON, MO 63755-1821
(573) 204-0490
(573) 204-0009
Mailing address
215 W MAIN ST, SUITE B, JACKSON, MO 63755-1821
(573) 204-0490
(573) 204-0009
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00337
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
857644603
—
MO
Enumeration date
11/22/2006
Last updated
08/07/2008
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