Doctor Name: | ANGELA G RENTEL |
NPI Number: | 1346437704 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC SLP |
License Number: | 114540 |
Business Practice Address: | 705 Lucky St Fayette, MO - 652481140 |
Business Phone Number: | 6602483800 |
Business Fax Number: | 6602482610 |
Mailing Address: | 11695 Hwy N, PILOT GROVE |
State: | MO |
Postal Code: | 65276 |
Phone Number: | 6602483800 |
Fax Number: | 6602483702 |
NPI Enumeration Date: | 10/01/2007 |
NPI Last Update Date: | 02/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 114540 |
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 |