Individual
STACY S GONDRING-BESHEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
408 W MARKET ST, SCHOOL DIST R 3 SAVANNAH, SAVANNAH, MO 64853-0151
(816) 324-3123
(816) 324-5594
Mailing address
PO BOX 151, SAVANNAH, MO 64485-0151
(816) 324-3123
(816) 324-5594
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
102658
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
463620112
—
MO
Enumeration date
03/12/2007
Last updated
02/19/2009
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