Individual
SARA E TWEEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
1100 CLUB VILLAGE DR, SUITE 300, COLUMBIA, MO 65203-4409
(573) 256-2777
Mailing address
6421 KATHERINE DRIVE, PALMYRA, MO 63461-1922
(573) 769-1233
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146-007121
IL
235Z00000X
Speech-Language Pathologist
Primary
2002027883
MO
Other
Enumeration date
04/12/2007
Last updated
12/12/2014
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