Sarah Knight

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

NPI 1295377331 · NPPES record last updated Mar 17, 2021

Key facts

NPI
1295377331
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2019032319 (MO)
Practice address
505 W Burkhart St
Malden, MO 63863-1445
Phone
(573) 276-5794
NPI assigned
Oct 10, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2019032319MOMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2019032319 MO Yes

Addresses

Primary practice location

505 W Burkhart St
Malden, MO 63863-1445

Mailing address

611 Highway J
Malden, MO 63863-1833

Other providers in Malden, MO

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

Sources for this page

Verify at the official NPI Registry.