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MRS. DIANNE PATRICIA ROTH M.A.CCC-SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1285877282

Individual Registrant:
MRS. DIANNE PATRICIA ROTH M.A.CCC-SLP
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: --

Contact information for business:
3000 MAIN ST  SCOTT CITY, MO 63780-1111 US
Tel: 573-264-2131  Fax: --

Registration Information:
NPI: 1285877282
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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