Doctor Name: | MRS. JOYCE RITA RENAUD |
NPI Number: | 1326319765 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | 01704 |
Business Practice Address: | 1843 Dixie Blvd Cape Girardeau, MO - 637012217 |
Business Phone Number: | 5739791865 |
Business Fax Number: | 5736512155 |
Mailing Address: | 1843 Dixie Blvd, CAPE GIRARDEAU |
State: | MO |
Postal Code: | 637012217 |
Phone Number: | 5739791865 |
Fax Number: | 5736512155 |
NPI Enumeration Date: | 01/17/2012 |
NPI Last Update Date: | 01/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 01704 |
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 |