Adam Jacob Naroden
Individual provider Active NPI Speech-Language Pathologist · Ferguson, MO
NPI 1548045487 · NPPES record last updated Aug 29, 2023
Key facts
- NPI
- 1548045487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2023034859 (MO)
- Practice address
- 701 January Ave
Ferguson, MO 63135-1807 - Phone
- (908) 442-3572
- NPI assigned
- Aug 29, 2023
- Sex
- Male
- 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 |
|---|---|---|---|
| 2023034859 | MO | MD | Speech-Language Pathologist |
| 01706412 | NJ | MD | Speech-Language Pathologist |
| SL016666 | PA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 01706412 | NJ | |
| Speech-Language Pathologist | 235Z00000X | SL016666 | PA | |
| Speech-Language Pathologist | 235Z00000X | 2023034859 | MO | Yes |
Addresses
Primary practice location
701 January Ave
Ferguson, MO 63135-1807
Mailing address
7229 Balson Ave
University City, MO 63130-3002
Phone (908) 442-3572
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All providers in Ferguson, 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 Aug 29, 2023. 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.