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NPI Code Detail

MEDICARE: VICKI THRIFT MA,CCC-SLP

MEDICARE: VICKI THRIFT MA,CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist01596MO

General Provider Information

NPI Number : 1851498661
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKI THRIFT MA,CCC-SLP
Provider Business Mailing Address
First Line : 1250 CLEARVIEW LN
Second Line :
City : NIXA
State : MO
Zip : 65714-8598
Country : US
Telephone Number : 417-725-4644
Fax Number :
Provider Business Practice Location Address
First Line : 2800 S FORT AVE
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-3480
Country : US
Telephone Number : 417-882-0035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 07/08/2007

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Directions to “ VICKI THRIFT MA,CCC-SLP” Practice Location

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