SearchMissouriSpeech-Language Pathologist

Kyla Van Black

NPI 1689058950 · on the registry since 2015

Practice

Address
4586 S 116th Rd
Bolivar, MO 65613
Phone
(417) 326-2466
Fax
(417) 326-7739
Clinicians at this address
6

Registry record

Primary taxonomy
Speech-Language Pathologist
235Z00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-07-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri