Dianne Patricia Roth, M.A.CCC-SLP
Speech-Language Pathologist, in Scott City, MO. Individual provider (NPI-1).
NPI number1285877282
StatusActive
Last updated in NPPESApr 7, 2009
Details
- NPI
- 1285877282
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Dianne Patricia Roth
- Credential
- M.A.CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2009
- Last updated
- Apr 7, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
3000 Main StScott City, MO 63780-1111
Phone 573-264-2131
Mailing address
3000 Main StScott City, MO 63780-1111
Phone 573-264-2131
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