Mariette Adcock Lovinger
Individual provider Active NPI Speech-Language Pathologist · Kingdom City, MO
NPI 1558746503 · NPPES record last updated Feb 17, 2016
Key facts
- NPI
- 1558746503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2015023935 (MO)
- Practice address
- 4171 County Road 240
Kingdom City, MO 65262-1111 - Phone
- (573) 642-4333
- NPI assigned
- Jul 20, 2015
- 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 |
|---|---|---|---|
| 2015023935 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2015023935 | MO | Yes |
Addresses
Primary practice location
4171 County Road 240
Kingdom City, MO 65262-1111
Mailing address
2801 W Broadway
Unit S4
Columbia, MO 65203-1271
Phone (314) 504-9694
Other providers in Kingdom City, MO
- Kierstin Elizabeth Godier
- Margaret Erin Griffith
- Mary Michelle Hughley
- Jennifer L. Kalyango
- Tobi Lee Linneman
- Missouri Girls Town Foundation, Inc
- Missouri Girls Town Foundation, Inc
- Sue Ellen Myers
- North Callaway Fire Protection Dist
- North Callaway R-1 School District
All providers in Kingdom City, 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 Feb 17, 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.