Doctor Name: | MS. VALERIE S CONVERSE |
NPI Number: | 1023141439 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC SLP |
License Number: | 111401 |
Business Practice Address: | 1305 Salem St Oak Grove R-vi Oak Grove, MO - 640757044 |
Business Phone Number: | 8166908770 |
Business Fax Number: | 8166906984 |
Mailing Address: | 1305 Salem St, OAK GROVE |
State: | MO |
Postal Code: | 640757044 |
Phone Number: | 8166908770 |
Fax Number: | 8166906984 |
NPI Enumeration Date: | 03/14/2007 |
NPI Last Update Date: | 02/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 111401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |