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Contact Information

STACY R DESUTTER, M.S., CCC-SLP
ST. JOHN'S REGIONAL MEDICAL CENTER
2727 MCCLELLAND BLVD
JOPLIN, MO64804
 Phone: 417-625-2498
 Fax: 417-625-2097
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for STACY R DESUTTER · (Female)

NPI Number 1205040276
Status Active
Credentials M.S., CCC-SLP
Entity Individual
Enumeration date 05/09/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 102022
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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