Judy A Seitz – Speech-Language Pathologist

Key facts

NPI: 1205968476
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: 2003020207 (MO)
Practice address: 90 Bell Rd
Wright City, MO 63390-3202
Phone: (636) 745-7405
Fax: (636) 745-7411
NPI assigned: Mar 12, 2007
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Wright City R-II School District Local Education Agency (LEA) · Wright City, MO · NPI 1093858094

NPD (past) SPEECH-LANGUAGE PATHOLOGIST

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
2003020207	MO	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
Wright City R-II School District	Speech-Language Pathologist	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	2003020207	MO	Yes

Addresses

Primary practice location

90 Bell Rd
Wright City, MO 63390-3202

Mailing address

90 Bell Rd
Wright City, MO 63390-3202
Phone (636) 745-7405

Other identifiers

Identifier	Type	State	Issuer
465941011	Medicaid	MO

Other providers in Wright City, MO

All providers in Wright City, 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 Oct 26, 2011. 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.

Verify at the official NPI Registry.