Valerie M Gray
Individual provider Active NPI Speech-Language Pathologist · Maryville, MO
NPI 1063769461 · NPPES record last updated Aug 6, 2012
Key facts
- NPI
- 1063769461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2009023886 (MO)
- Practice address
- 1429 S Munn Ave
Maryville, MO 64468-2756 - Phone
- (660) 582-3768
- Fax
- (660) 582-2807
- NPI assigned
- Aug 6, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009023886 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryville R-II | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2009023886 | MO | Yes |
Addresses
Primary practice location
1429 S Munn Ave
Maryville, MO 64468-2756
Mailing address
1429 S Munn Ave
Maryville, MO 64468-2756
Phone (660) 582-3768
Other providers in Maryville, MO
- Paula Goodridge
- Darrian Josephine Gordon
- Karen M Gorman
- Bill D. Graham
- Anthony Christopher Grainger
- Bryan Robert Green
- Claire Christine Gregson
- Kelly Griffith
- Gage Grispino
- Susan Kay Grispino
All providers in Maryville, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.