Individual
MRS. BEVERLY BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 S 3RD ST, PURDY, MO 65734-0248
(417) 442-3216
Mailing address
201 S 3RD ST, PURDY, MO 65734-0248
(417) 442-3216
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
466179108
—
MO
Enumeration date
12/20/2006
Last updated
07/09/2007
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