Jessie Rambo, M.S. SLP

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

NPI 1346583366 · NPPES record last updated Jul 24, 2019

Key facts

NPI
1346583366
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2017043071 (MO)
Practice address
800 E Scott St
Monett, MO 65708-1741
Phone
(417) 235-4246
Fax
(417) 235-5470
NPI assigned
Mar 27, 2013
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
2017043071MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
All Aboard Pediatric Therapy Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X AR
Speech-Language Pathologist 235Z00000X 2017043071 MO Yes

Addresses

Primary practice location

800 E Scott St
Monett, MO 65708-1741

Mailing address

800 E Scott St
Monett, MO 65708-1741
Phone (417) 235-4246

Other providers in Monett, MO

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

Sources for this page

Verify at the official NPI Registry.