Doctor Name: | MANDI LYNN HEMRY |
NPI Number: | 1609909936 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC SLP |
License Number: | 2002020207 |
Business Practice Address: | School Dist R 7 Tri County 904 W Auberry Grv Jamesport, MO - 646487374 |
Business Phone Number: | 6606846118 |
Business Fax Number: | 6606846218 |
Mailing Address: | 904 W Auberry Grv, JAMESPORT |
State: | MO |
Postal Code: | 646487374 |
Phone Number: | 6606846118 |
Fax Number: | 6606846218 |
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: | 2002020207 |
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 |