MISSOURI SPEECH THERAPY
NPI 1821400474
Speech-Language Pathologist in Bolivar, MO

Q: What is Missouri Speech Therapy's NPI number?

The NPI number for Missouri Speech Therapy is 1821400474. It was assigned to this organization in the NPPES registry on May 29, 2014.

Q: What is Missouri Speech Therapy's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Active since May 29, 2014

1009 HWY B, BOLIVAR, MO 65613(417) 326-6754 Get Directions Write a Review

NPPES record last updated: December 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Missouri Speech Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISSOURI SPEECH THERAPY (NPI 1821400474) is a healthcare organization registered as a speech-language pathologist in Bolivar, Missouri and active in the NPI registry since May 2014. The organization lists Mary R Ethridge, Speech/language Pathologist, as its authorized official.

NPPES Registry Identity

NPI1821400474

Entity TypeOrganization

Primary Taxonomy235Z00000X

Legal Business NameMISSOURI SPEECH THERAPY

Location Address1009 HWY BBolivar, MO 65613-8252

Mailing Address4115 101st RdBolivar, MO 65613-8608 · (417) 326-9464

Phone(417) 326-6754

Organization SubpartNo

Authorized OfficialMary R EthridgeSpeech/language Pathologist · (417) 326-9464

Enumeration DateMay 29, 2014

Last NPPES UpdateDecember 18, 2018

✔ NPI 1821400474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in MO · 106670

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

1009 HWY B, Bolivar, MO 65613

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Other Identifiers 1

Other1134399710MO · Medicaid Waiver

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Missouri Speech Therapy's NPI number?

The NPI number for Missouri Speech Therapy is 1821400474. It was assigned to this organization in the NPPES registry on May 29, 2014.

Where is Missouri Speech Therapy located?

Missouri Speech Therapy is located at 1009 Hwy B, Bolivar, MO 65613. The listed phone number is (417) 326-6754.

What is Missouri Speech Therapy's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Missouri Speech Therapy was last updated on December 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.