Theresa Carol Dill, M.S., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Marshfield, MO

NPI 1689129199 · NPPES record last updated Aug 25, 2016

Key facts

NPI
1689129199
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2016028046 (MO)
Practice address
600 N Locust St
Marshfield, MO 65706-1212
Phone
(417) 859-2120
NPI assigned
Aug 25, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2016028046MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2016028046 MO Yes

Addresses

Primary practice location

600 N Locust St
Marshfield, MO 65706-1212

Mailing address

600 N Locust St
Marshfield, MO 65706-1212
Phone (417) 859-2120

Other providers in Marshfield, MO

All providers in Marshfield, MO · Speech-Language Pathologist in Missouri

Sources for this page

Verify at the official NPI Registry.