Individual
MRS. CHERYL WHITTENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3336
(573) 785-6707
(573) 785-0336
Mailing address
1110 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3336
(573) 785-6707
(573) 785-0336
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
MO 29-64
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MO 29-64
TCH. CERT.-SPEECH-LANG
MO
Enumeration date
06/19/2007
Last updated
07/08/2007
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