Tina M Tharp
Individual provider Active NPI Speech-Language Pathologist · Windsor, MO
NPI 1447420740 · NPPES record last updated Mar 3, 2008
Key facts
- NPI
- 1447420740
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2007006945 (MO)
- Practice address
- 116 Moniteau St
Windsor, MO 65360-1212 - Phone
- (660) 647-3416
- NPI assigned
- Mar 3, 2008
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2007006945 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2007006945 | MO | Yes |
Addresses
Primary practice location
116 Moniteau St
Windsor, MO 65360-1212
Mailing address
116 Moniteau St
Windsor, MO 65360-1212
Phone (660) 647-3416
Other providers in Windsor, MO
- Dawn Michelle Snow
- Matthew Ryan Stewart
- Stephanie Strobino
- Teresa Lynn Tatum
- Katie A Terry
- Adam Blake Tomlinson
- Cozette A Toole
- Truman Valley Health Care, Inc.
- Robin Vogt
- Windsor Ambulance District
All providers in Windsor, 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 Mar 3, 2008. 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.