Heather L Lara Rizo, M.A. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Ironton, MO
NPI 1245360262 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1245360262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2003023666 (MO)
- Practice address
- 750 Park Dr
Ironton, MO 63650-1480 - Phone
- (573) 546-9700
- NPI assigned
- Mar 7, 2007
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003023666 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcadia Valley Reorganized School District No. 2 | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2003023666 | MO | Yes |
Addresses
Primary practice location
750 Park Dr
Ironton, MO 63650-1480
Mailing address
750 Park Dr
Ironton, MO 63650-1480
Phone (573) 546-9700
Other providers in Ironton, MO
- Ironton Residential Care, LLC
- Bradley Charles Jackson
- Tertia King
- Jerri Klein
- Portia Leann Kniffin
- Lone Pine Residential Care, LLC
- Charity Renee Mackley
- Sylvia Martin
- Steven F McAdams
- Missouri CVS Pharmacy, L.L.C.
All providers in Ironton, 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 Jul 9, 2007. 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.