Doctor Name: | MS. LINDA DANELLE WELLER |
NPI Number: | 1083738090 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 2001013164 |
Business Practice Address: | 932 E 34th St Joplin, MO - 648043932 |
Business Phone Number: | 4173473082 |
Business Fax Number: | 4173478410 |
Mailing Address: | 1012 Hillside Dr, WEBB CITY |
State: | MO |
Postal Code: | 648703304 |
Phone Number: | 4176736844 |
Fax Number: | |
NPI Enumeration Date: | 03/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2001013164 |
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 |