Individual
DEBRA LYNN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1610 E. SUNSHINE STREET, SPRINGFIELD, MO 95804
(417) 523-7500
Mailing address
1610 E. SUNSHINE STREET, SPRINGFIELD, MO 95804
(417) 887-2118
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
114669
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070112071835780
—
MO
Enumeration date
01/25/2007
Last updated
11/03/2016
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