Tina Lynn Ebert, CCC-SLP Valid NPI

Individual provider · Speech-Language Pathologist · O Fallon, MO

NPI

1215169743

Type

Individual (Type 1)

Primary specialty

Speech-Language Pathologist

Specialty group

Speech, Language and Hearing Service Providers

Taxonomy code

235Z00000X

License number

2009009829 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2009-08-17

Last updated

2009-08-17