Beth Marie Sloan, MS CCC SLP

Individual provider Active NPI Speech-Language Pathologist · Keytesville, MO

NPI 1245366244 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1245366244
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2001029954 (MO)
Practice address
27247 Highway 5
School Dist R-3 Keytesville
Keytesville, MO 65261-2401
Phone
(660) 288-3767
Fax
(660) 288-3110
NPI assigned
Feb 26, 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.

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 Science

State licenses

LicenseStateTypeSpecialty
2001029954MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
School District R-3 Keytesville Past
since Jul 24, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2001029954 MO Yes

Addresses

Primary practice location

27247 Highway 5
School Dist R-3 Keytesville
Keytesville, MO 65261-2401

Mailing address

27247 Highway 5
Keytesville, MO 65261-2401
Phone (660) 288-3767

Other providers in Keytesville, MO

All providers in Keytesville, MO · Speech-Language Pathologist in Missouri

Sources for this page

Verify at the official NPI Registry.