Individual
TARA PINGRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
22911 K15 HWY, DEXTER, KS 67038-9209
(620) 307-1986
Mailing address
22911 K15 HWY, DEXTER, KS 67038-9209
(620) 307-1986
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3263
KS
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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