Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Missouri Speech Therapy

Organization Speech-Language Pathologist · NPI 1821400474

Missouri Speech Therapy is a Speech-Language Pathologist in Bolivar, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014

Practice location Address checks out

1009 Hwy B
Bolivar, MO 65613-8252
Phone: (417) 326-6754
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 106670 (MO)

Record details

NPI number1821400474
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Ethridge — Speech/Language Pathologist · (417) 326-9464
NPI enumeratedMay 29, 2014
Last updated in NPPESDecember 18, 2018
Mailing address4115 101st Rd, Bolivar, MO 65613-8608

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