Amy Deters SLP

NPI 1104027416 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1104027416
Gender Female
Enumeration Date 05/31/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2625 IOWA ST
PERRY IA, 50220-2413, US
Phone (615) 896-6400
Fax
Business Location
225 PRAIRIE VIEW DR
5312
WEST DES MOINES IA, 50266-7114, US
Phone (515) 250-0198
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Iowa
License Number 01612
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According to our database, Amy Deters SLP NPI is 1104027416, taxonomy code is 235Z00000X and license number is 01612, license state is located at Iowa. Amy Deters SLP physically located at 2625 Iowa St, Perry IA, 50220-2413. NPI Number Amy Deters SLP has the Individual type.

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1104027416 NPI number is provided on an as is basis without warranty of any kind. 1104027416 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Deters SLP are for informational purposes only.