Jody L. Horner
Individual provider Active NPI Speech-Language Pathologist · Vandalia, MO
NPI 1508925280 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508925280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 105083 (MO)
- Practice address
- 2122 Audrain Road
Vandalia, MO 63882 - Phone
- (573) 594-2731
- NPI assigned
- Dec 8, 2006
- 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 |
|---|---|---|---|
| 105083 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 105083 | MO | Yes |
Addresses
Primary practice location
2122 Audrain Road
Vandalia, MO 63882
Mailing address
14067 Highway E
Curryville, MO 63339-2030
Phone (573) 470-5550
Other providers in Vandalia, MO
- Christina Dixon
- Dr. Craig a. Long, D.D.S.
- Nicole Gibson
- Crisanto Gualberto
- Healer S Touch Rehabilitation Services, LLC
- Linda Kendrick
- Alexandria McCandless
- Katlyn Renee Meyers
- Niemann Foods Inc
- Pike County Memorial Hospital
All providers in Vandalia, 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.