Individual
NIESJE A PLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP MS
Contact information
Practice address
1610 EAST SHUNSHINE, SPRINGFIELD, MO 65804
(417) 523-7500
(417) 523-7595
Mailing address
1610 EAST SUNSHINE, SPRINGFIELD, MO 65804
(417) 767-2298
(417) 767-4483
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
113812
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
467466306
—
MO
Enumeration date
05/01/2007
Last updated
12/14/2016
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