Individual
DR. DIDERIKA M TELTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., CCC-SLP
Contact information
Practice address
1531 E BRADFORD PKWY, SUITE 205, SPRINGFIELD, MO 65804-6853
(417) 883-0043
(417) 883-0043
Mailing address
1531 E BRADFORD PKWY, SUITE 205, SPRINGFIELD, MO 65804-6853
(417) 883-0043
(417) 883-0043
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01983
MO
Other
Enumeration date
06/28/2010
Last updated
06/03/2016
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