Doctor Name: | HEATHER LYNN WHITTINGTON |
NPI Number: | 1821355249 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2012002471 |
Business Practice Address: | 200 W Odell Street S College Avenue And 200 W Odell St Marionville, MO - 65705 |
Business Phone Number: | 4172587755 |
Business Fax Number: | |
Mailing Address: | 5313 S Farm Road 241, ROGERSVILLE |
State: | MO |
Postal Code: | 657428527 |
Phone Number: | 4172596048 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2012 |
NPI Last Update Date: | 04/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2012002471 |
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 |