Marsha Pettit
Individual provider Active NPI Speech-Language Pathologist · Marshfield, MO
NPI 1225533490 · NPPES record last updated Mar 28, 2018
Key facts
- NPI
- 1225533490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 0313640 (MO)
- Practice address
- 170 State Highway DD
Marshfield, MO 65706-1513 - Phone
- (417) 859-2120
- NPI assigned
- Mar 28, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 0313640 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshfield R-1 School District | Past | Accepting new patients | |
| Marshfield R-1 School District | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0313640 | MO | Yes |
Addresses
Primary practice location
170 State Highway DD
Marshfield, MO 65706-1513
Mailing address
5505 S Parkhill Ave
Springfield, MO 65810-2503
Other providers in Marshfield, MO
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- Logan Pate
- Morgan Pessina
- Melissa D Phillips
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- Kevin Pierce
- Laura Poppe
All providers in Marshfield, 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 Mar 28, 2018. 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.