Organization
CAPE SPEECH AND SWALLOWING THERAPY,LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIRMAL K SAMANTA PHD,CCC-SLP (OWNER)
(573) 450-3393
Entity
Organization
Contact information
Practice address
4 S PACIFIC ST, CAPE GIRARDEAU, MO 63703-6103
(573) 450-8540
(573) 339-0911
Mailing address
250 BRANDY LN, CAPE GIRARDEAU, MO 63701-8443
(573) 450-8540
(573) 339-0911
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004016682
MO
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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