Doctor Name: | MISS AUDREY CHRISTINE NIEMANN |
NPI Number: | 1750560611 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC SLP |
License Number: | 2007012832 |
Business Practice Address: | 1405 West Grand Avenue Cameron, MO - 64429 |
Business Phone Number: | 8166322151 |
Business Fax Number: | 8166322999 |
Mailing Address: | Po Box 525, 1405 West Grand Avenue CAMERON |
State: | MO |
Postal Code: | 64429 |
Phone Number: | 8166322151 |
Fax Number: | 8166322999 |
NPI Enumeration Date: | 10/29/2007 |
NPI Last Update Date: | 10/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2007012832 |
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 |