Pediatric Place, LLC

NPI #1437819364 in Clinton, Missouri

Provider Information

NPI Number: 1437819364
Entity Type: Organization
Organization Name: Pediatric Place, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CHATTERBOX SPEECH THERAPY, LLC
Primary Specialty: Speech-Language Pathologist
Enumeration Date: Dec 20, 2021
Last Updated: Dec 20, 2021

Practice Location

Address: 210 S 2ND ST STE A
City: Clinton
State: Missouri
ZIP Code: 64735-2172
Phone: (660) 885-2394

Authorized Official

Name: CARMEN L RATHERT, SLP
Title: CO-OWNER
Phone: (660) 885-2394

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Physical Therapist	225100000X
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X	Primary

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