Yvonne G Bauder, M.S., CCC-SLP

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

NPI 1790993285 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1790993285
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
92 NW State Route 58
Centerview, MO 64019-9235
Phone
(660) 656-3897
NPI assigned
May 18, 2007
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

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson County R-7 School District Past Accepting new patients

Specialties & licenses

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

Addresses

Primary practice location

92 NW State Route 58
Centerview, MO 64019-9235

Mailing address

963 Walnut Shade
Crane, MO 65633
Phone (417) 369-0080

Other identifiers

IdentifierTypeStateIssuer
12026282OtherASHA ACCOUNT NUMBER

Other providers in Centerview, MO

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

Sources for this page

Verify at the official NPI Registry.