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MRS. DIANNE PATRICIA ROTH M.A.CCC-SLP
>> Speech-Language Pathologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1285877282
Individual Registrant:MRS. DIANNE PATRICIA ROTH M.A.CCC-SLP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3000 MAIN ST SCOTT CITY, MO 63780-1111 US
Tel: 573-264-2131 Fax: --
Tel: 573-264-2131 Fax: --
Contact information for business:
3000 MAIN ST SCOTT CITY, MO 63780-1111 US
Tel: 573-264-2131 Fax: --
Tel: 573-264-2131 Fax: --
Registration Information:
NPI: 1285877282
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
