Annie Jack Valid NPI

Individual provider · Speech-Language Pathologist · Independence, MO

NPI

1669861985

Type

Individual (Type 1)

Primary specialty

Speech-Language Pathologist

Specialty group

Speech, Language and Hearing Service Providers

Taxonomy code

235Z00000X

License number

2012011146 (MO)

Sex

Female

Sole proprietor

Yes

Enumerated

2015-01-12

Last updated

2015-01-12