Amy Vangorden

NPI 1003970377 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1003970377
Gender Female
Enumeration Date 12/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
205 NORTH ST
ANNEX B
NIXA MO, 65714, US
Phone (417) 724-4040
Fax (417) 724-4039
Business Location
205 NORTH ST
ANNEX B
NIXA MO, 65714, US
Phone (417) 724-4040
Fax (417) 724-4039
Toxanomy
Taxonomy Code 235Z00000X
License State Missouri
License Number 109945
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According to our database, Amy Vangorden NPI is 1003970377, taxonomy code is 235Z00000X and license number is 109945, license state is located at Missouri. Amy Vangorden physically located at 205 North St, Nixa MO, 65714. NPI Number Amy Vangorden has the Individual type.

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1003970377 NPI number is provided on an as is basis without warranty of any kind. 1003970377 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Vangorden are for informational purposes only.