June B Hallman, M.S.,CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Defiance, MO
NPI 1376686154 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376686154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 115649 (MO)
- Practice address
- 458 Old Colony Rd
Defiance, MO 63341-2322 - Phone
- (636) 987-2501
- NPI assigned
- Feb 14, 2007
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115649 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 115649 | MO | Yes |
Addresses
Primary practice location
458 Old Colony Rd
Defiance, MO 63341-2322
Mailing address
458 Old Colony Rd
Defiance, MO 63341-2322
Phone (636) 987-2501
Other providers in Defiance, MO
- Diagnostic Medical Ultrasound Service, LLC
- Aidan Joseph Heslin
- Meier Clinics of Missouri, Inc.
- Elena Melillo
- Darcy Seiler
- Kenneth Williams
All providers in Defiance, 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 8, 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.