Individual
MICHELLE BOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
5628 S MCCANN AVE, SPRINGFIELD, MO 65804-7917
(417) 827-2370
Mailing address
5628 S MCCANN AVE, SPRINGFIELD, MO 65804-7917
(417) 827-2370
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111009
TX
235Z00000X
Speech-Language Pathologist
2002021823
MO
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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