Individual
TERESA LARIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 W COOPER ST, BUFFALO, MO 65622-8662
(417) 345-5413
(417) 345-8674
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 328-6258
(417) 328-6242
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
101690
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
463644302
—
MO
Enumeration date
09/19/2007
Last updated
09/19/2007
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