Individual
JUDITH PEAVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
716 S FREMONT AVE, SPRINGFIELD, MO 65804-0112
(417) 860-1636
Mailing address
716 S FREMONT AVE, SPRINGFIELD, MO 65804-0112
(417) 860-1636
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
105835
MO
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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