Provider Demographics
NPI:1396245544
Name:TURNER, PATRICIA J
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:J
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 S HOLDEN STREET
Mailing Address - Street 2:PO BOX 638
Mailing Address - City:WARRENSBURG
Mailing Address - State:MO
Mailing Address - Zip Code:64093
Mailing Address - Country:US
Mailing Address - Phone:660-747-7823
Mailing Address - Fax:660-747-9615
Practice Address - Street 1:201 S HOLDEN STREET
Practice Address - Street 2:PO BOX 638
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093
Practice Address - Country:US
Practice Address - Phone:660-747-7823
Practice Address - Fax:660-747-9615
Is Sole Proprietor?:No
Enumeration Date:2018-02-14
Last Update Date:2018-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO460001655Medicaid