Individual
BECKY S BLACKABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
740 CLEVELAND ST, PARIS, MO 65275-1120
(660) 327-5116
(660) 327-4290
Mailing address
740 CLEVELAND ST, PARIS, MO 65275-1120
(660) 327-5116
(660) 327-4290
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2003008347
MO
Other
Enumeration date
03/02/2007
Last updated
12/06/2007
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