Individual
PAMELA PALMER MARIENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2311 S JACKSON AVE, JOPLIN, MO 64804-1936
(417) 781-2311
Mailing address
4617 S JACKSON AVE, JOPLIN, MO 64804-4836
(417) 622-4655
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
104882
MO
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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