Individual
ELIZABETH A HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 FLEETWOOD DR, WAYNESVILLE, MO 65583-2266
(573) 337-3073
Mailing address
21464 TEARDROP RD, DEVILS ELBOW, MO 65457-2102
(573) 337-3073
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/24/2023
Last updated
03/03/2023
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