Thomas Maberry

NPI 1295174910 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1295174910
Gender Male
Enumeration Date 06/15/2013
Last Updated 06/15/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
4825 CLARK LN
APT 101
COLUMBIA MO, 65202-0056, US
Phone (618) 578-9705
Fax
Business Location
4825 CLARK LN
APT 101
COLUMBIA MO, 65202-0056, US
Phone (618) 578-9705
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Missouri
License Number 2012026892
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According to our database, Mr. Thomas Maberry NPI is 1295174910, taxonomy code is 235Z00000X and license number is 2012026892, license state is located at Missouri. Thomas Maberry physically located at 4825 Clark Ln, Columbia MO, 65202-0056. NPI Number Thomas Maberry has the Individual type.

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1295174910 NPI number is provided on an as is basis without warranty of any kind. 1295174910 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Maberry are for informational purposes only.