Don Delrosario, SPEECH PATHOLOGIST
Individual provider Active NPI Speech-Language Pathologist · Macon, MO
NPI 1578080495 · NPPES record last updated Aug 23, 2017
Key facts
- NPI
- 1578080495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 702 N Missouri St
Macon, MO 63552-2062 - Phone
- (660) 385-2118
- NPI assigned
- Aug 23, 2017
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | MO | Yes |
Addresses
Primary practice location
702 N Missouri St
Macon, MO 63552-2062
Mailing address
Macon R-1 Schools
Macon, MO 63552
Phone (660) 385-2118
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All providers in Macon, 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 23, 2017. 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.