Individual
ASHTON BERNSKOETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3023 S FORT AVE STE B, SPRINGFIELD, MO 65807-4217
(417) 890-4656
Mailing address
3023 S FORT AVE STE B, SPRINGFIELD, MO 65807-4217
(417) 890-4656
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2020014462
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020014462
STATE LICENSE
MO
Enumeration date
06/03/2020
Last updated
06/03/2020
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