Individual
MICHELLE LYNN DAMPF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 PORTLAND ST, COLUMBIA, MO 65201-6521
(573) 884-5596
(573) 884-1151
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 882-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
118487
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
465236313
—
MO
Enumeration date
08/06/2007
Last updated
02/27/2018
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