Tyann Nettleton, M.S SLP-CCC
Individual provider Active NPI Speech-Language Pathologist · Houston, MO
NPI 1487101291 · NPPES record last updated Sep 9, 2016
Key facts
- NPI
- 1487101291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2016023444 (MO)
- Practice address
- 423 W Pine St
Houston, MO 65483-1147 - Phone
- (417) 967-3196
- Fax
- (417) 967-2923
- NPI assigned
- Sep 9, 2016
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016023444 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2016023444 | MO | Yes |
Addresses
Primary practice location
423 W Pine St
Houston, MO 65483-1147
Mailing address
423 W Pine St
Houston, MO 65483-1147
Phone (417) 967-3196
Other providers in Houston, MO
- Juan F Mella
- Mercy Clinic-Springfield Communities
- Mercy St Francis Hospital
- Paul Morris
- Hillary Mumaw
- Brandy Janell Nickels-Johnson
- Ozarks Medical Center
- Ozarks Medical Center
- Sheena Caitlyn Painter
- Carrie Michelle Peifer
All providers in Houston, 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 9, 2016. 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.