| Mrs Nancy Diana Smith, MA | |
|
210 S Harding St, Desloge, MO 63601-2956 | |
| (573) 701-2476 | |
| Not Available |
| Full Name | Mrs Nancy Diana Smith |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 210 S Harding St, Desloge, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720447089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2016004277 (Missouri) | Primary |
| Provider Name | Empowerme Rehabilitation Missouri Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1417479494 PECOS PAC ID: 9234402470 Enrollment ID: O20170908002930 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083208391 PECOS PAC ID: 9830504836 Enrollment ID: O20210308002804 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Nancy Diana Smith, MA 210 S Harding St, Desloge, MO 63601-2956 Ph: (573) 701-2476 | Mrs Nancy Diana Smith, MA 210 S Harding St, Desloge, MO 63601-2956 Ph: (573) 701-2476 |
Stephanie Catherine Hughes, M.A., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 Brim St, Desloge, MO 63601 Phone: 573-431-0223 | |
Mrs. Kathryn Marie Mcdowell, MA,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 Brim St, Desloge, MO 63601 Phone: 573-431-0223 Fax: 573-431-0251 | |
Hannah Marie Jackson, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 Brim St, Desloge, MO 63601 Phone: 573-431-0223 | |
Mrs. Kelley Suzanne Bumgardaner, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 Brim St, Desloge, MO 63601 Phone: 573-431-0223 Fax: 573-431-0251 | |
Tessa Dunivan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 Brim St, Desloge, MO 63601 Phone: 573-431-0223 |