Mireya Castilleja
Individual provider Active NPI Speech-Language Assistant · Joplin, MO
NPI 1649047895 · NPPES record last updated Dec 7, 2023
Key facts
- NPI
- 1649047895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- Practice address
- 825 S Pearl Ave
Joplin, MO 64801-4336 - Phone
- (417) 625-5200
- NPI assigned
- Dec 7, 2023
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | Yes |
Addresses
Primary practice location
825 S Pearl Ave
Joplin, MO 64801-4336
Mailing address
825 S Pearl Ave
Joplin, MO 64801-4336
Phone (417) 625-5200
Other providers in Joplin, MO
- Carrie Carter
- Samuel R Carter III
- Kristen Carzoli
- Ashlann Casey
- Chad William Cassady Jr.
- Gretchen Gibson Castleman
- Quentin Wade Caswell
- Catalyst Orthotic and Prosthetic Clinic
- Christopher Phillip Cortez Cecilio
- Jade Marie Cedeno
All providers in Joplin, MO · Speech-Language Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 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.