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NPI Code Detail

MEDICARE: ROYALTY SPEECH THERAPY OF JOPLIN, LLC

MEDICARE: ROYALTY SPEECH THERAPY OF JOPLIN, LLC
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
1261QH0700XHearing and Speech Clinic/Center

General Provider Information

NPI Number : 1134780877
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROYALTY SPEECH THERAPY OF JOPLIN, LLC
Provider Business Mailing Address
First Line : PO BOX 2691
Second Line :
City : JOPLIN
State : MO
Zip : 64803-2691
Country : US
Telephone Number : 918-533-2480
Fax Number :
Provider Business Practice Location Address
First Line : 127 FOREST DR
Second Line :
City : CARL JUNCTION
State : MO
Zip : 64834-9613
Country : US
Telephone Number : 479-925-0915
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER/SLP
Name : KOURTNEY READING
Credential : M.S. CCC-SLP
Telephone Number : 918-533-2480
Provider Enumeration Date : 06/24/2019
Last Update Date : 06/24/2019

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Directions to “ROYALTY SPEECH THERAPY OF JOPLIN, LLC ” Practice Location

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