Doctor Name: | MICHELLE LYNN DAMPF |
NPI Number: | 1962693846 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 118487 |
Business Practice Address: | 1444 Sunset Lake Rd Jefferson City, MO - 651092441 |
Business Phone Number: | 5736900760 |
Business Fax Number: | |
Mailing Address: | 6124 Falcon Dr, JEFFERSON |
State: | MO |
Postal Code: | 651019751 |
Phone Number: | 5736362020 |
Fax Number: | 5736362202 |
NPI Enumeration Date: | 08/06/2007 |
NPI Last Update Date: | 10/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 118487 |
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 |