Rachel N Stauffenberg
Individual provider Active NPI Speech-Language Pathologist · De Soto, MO
NPI 1326608985 · NPPES record last updated Sep 30, 2024
Key facts
- NPI
- 1326608985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2019020278 (MO)
- Practice address
- 650 Vineland School Rd
De Soto, MO 63020-2561 - Phone
- (636) 586-1010
- NPI assigned
- Jun 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 2019020278 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2019020278 | MO | Yes |
Addresses
Primary practice location
650 Vineland School Rd
De Soto, MO 63020-2561
Mailing address
2005 Summerfield CT
Imperial, MO 63052-2126
Phone (636) 209-8240
Other providers in De Soto, MO
- Rowden Family Medicine, PC
- Korinne Elizabeth Sackett
- Jim Clark Sanders
- Savanah Santonge
- Southern Home Care Services, Inc.
- Sunnyhill Inc
- Sunrise School District R-IX
- Abbey Sutton
- Donna Swan
- Terence a. Friskel DDS,PC
All providers in De Soto, 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 Sep 30, 2024. 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.