Doctor Name: | MRS. DONNA LEE STALLINGS |
NPI Number: | 1417005174 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MAED, CCC-SLP |
License Number: | 00402 |
Business Practice Address: | 930 S Kingshighway St Sikeston, MO - 638014416 |
Business Phone Number: | 5734714477 |
Business Fax Number: | 5734714782 |
Mailing Address: | 4 Hackberry Dr, SIKESTON |
State: | MO |
Postal Code: | 638015035 |
Phone Number: | 5714717791 |
Fax Number: | 5734714782 |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 00402 |
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 |