Miranda White SLP

NPI 1619122736 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1619122736
Gender Female
Enumeration Date 11/18/2008
Last Updated 11/18/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1717 E 15TH ST
JOPLIN MO, 64804-0907, US
Phone (417) 625-5290
Fax (417) 625-5297
Business Location
1717 E 15TH ST
JOPLIN MO, 64804-0907, US
Phone (417) 625-5290
Fax (417) 625-5297
Toxanomy
Taxonomy Code 235Z00000X
License State Missouri
License Number 2008021563
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According to our database, Miranda White SLP NPI is 1619122736, taxonomy code is 235Z00000X and license number is 2008021563, license state is located at Missouri. Miranda White SLP physically located at 1717 E 15th St, Joplin MO, 64804-0907. NPI Number Miranda White SLP has the Individual type.

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1619122736 NPI number is provided on an as is basis without warranty of any kind. 1619122736 is maintained by the National Plan & Provider Enumeration System. The contents of Miranda White SLP are for informational purposes only.