Daniel Douglas McCool
Individual provider Active NPI Speech-Language Pathologist · Sparta, MO
NPI 1780801936 · NPPES record last updated Feb 20, 2009
Key facts
- NPI
- 1780801936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2004008771 (MO)
- Practice address
- School Dist R 3 Sparta
113 Division
Sparta, MO 65753-0160 - Phone
- (417) 634-3223
- Fax
- (417) 634-3156
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 2004008771 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| School Dist R 3 Sparta | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2004008771 | MO | Yes |
Addresses
Primary practice location
School Dist R 3 Sparta
113 Division
Sparta, MO 65753-0160
Mailing address
PO Box 160
113 Division
Sparta, MO 65753-0160
Phone (417) 634-3223
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 467564506 | Medicaid | MO |
Other providers in Sparta, MO
- Eric B Hines
- Bryan L. Logan
- Tara N Loveland
- Jacob K Luder
- John J Magnuson
- Cale Cortlan Merkley
- Mary Neal
- Erica Neff
- Phillips Pharmacy, LLC
- Libby Phillips
All providers in Sparta, 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 20, 2009. 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.