Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Revere C-3 School

Organization Speech-Language Pathologist · NPI 1225205032

Revere C-3 School is a Speech-Language Pathologist in Revere, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
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Practice location Partly verified

Some contact details are missing from the federal record.

One Bulldog Dr
Revere, MO 63465
Phone: (660) 948-2621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 114003 (MO)

Record details

NPI number1225205032
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Horner — Principal · (660) 948-2621
NPI enumeratedMay 12, 2008
Last updated in NPPESMay 12, 2008
Mailing addressPo Box 300, Revere, MO 63465-0300