Basic Information
| Provider Information | |||||||||
| NPI: | 1639384308 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BELL | ||||||||
| FirstName: | TWILA | ||||||||
| MiddleName: | GALE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | M.S., CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 625 E AYLOR ST | ||||||||
| Address2: | |||||||||
| City: | WEBB CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 648701158 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4176738396 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2727 MC CLELLAND BLVD | ||||||||
| Address2: | |||||||||
| City: | JOPLIN | ||||||||
| State: | MO | ||||||||
| PostalCode: | 648041626 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4176252124 | ||||||||
| FaxNumber: | 4176252097 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/14/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 110202 | MO | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.