Doctor Name: | PAIGE LAURA KNERL |
NPI Number: | 1740536655 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2005041213 |
Business Practice Address: | 500 N Main St Leeton, MO - 647619238 |
Business Phone Number: | 6606532301 |
Business Fax Number: | |
Mailing Address: | 419 Se Highway Pp, LEETON |
State: | MO |
Postal Code: | 647618135 |
Phone Number: | 6606534102 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2012 |
NPI Last Update Date: | 07/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2005041213 |
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 |