NPI 1003019761

Tara Gretchen Mouser, MCDCCCSLP

Practitioner Speech-Language Pathologist Bloomfield, MO

Practice location

Address: 505 Court St., Bloomfield, MO 63825
Phone: (573) 568-4562
Fax: (573) 568-4563
Mailing address: 1321 Buisness Hwy 60 W, Dexter, MO 63841

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 112138 (MO)

Other Speech-Language Pathologist providers in Missouri →

Registry record

NPI: 1003019761
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jun 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.