Individual
MRS. KRISTEENA RUTH WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
940 N JEFFERSON AVE, SPRINGFIELD, MO 65802-3718
(417) 523-0000
Mailing address
3911 N PICKWICK AVE, SPRINGFIELD, MO 65803-5933
(417) 523-1352
(417) 523-1395
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0147680TC
MO
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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