Susan Govero, SLT
Individual provider Active NPI Speech/Language/Hearing Specialist/Technologist · Republic, MO
NPI 1114441805 · NPPES record last updated Aug 3, 2017
Key facts
- NPI
- 1114441805
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech/Language/Hearing Specialist/Technologist 235500000X
- License
- 280233 (MO)
- Practice address
- 234 E Anderson St
Republic, MO 65738-1300 - Phone
- (417) 732-3620
- NPI assigned
- Aug 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 280233 | MO | MD | Speech/Language/Hearing Specialist/Technologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech/Language/Hearing Specialist/Technologist | 235500000X | 280233 | MO | Yes |
Addresses
Primary practice location
234 E Anderson St
Republic, MO 65738-1300
Mailing address
234 E Anderson St
Republic, MO 65738-1300
Phone (417) 732-3620
Other providers in Republic, MO
- Latisha Jolene Florence
- Melissa Dawn Floyd
- Hannah H Fox
- Gary L. June, PSYD, LLC
- Katherine E Gerwel
- Grateful Heart Counseling LLC
- Latisha Hall
- Erin Hanson
- Zach David Hanson
- Levi Keith Hare-Townsend
All providers in Republic, MO · Speech/Language/Hearing Specialist/Technologist 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 3, 2017. 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.