MRS. IRIS LADAWN GAERDITZ (NPI# 1659560688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659560688 |
Entity Type | Individual |
Full Name | MRS. IRIS LADAWN GAERDITZ |
Other Name | MRS. IRIS LADAWN MCLIN |
Credential | MA, CCC-SLP |
Practice Address |
702 N Missouri St Macon MO 63552 |
Mailing Address |
29754 Jockey St La Plata MO 63549-4008 |
Practice Telephone | 6603852118 |
Mailing Telephone | 6603461338 |
Enumeration Date | 2007-10-16 |
Last Update Date | 2019-02-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | 2007019898 | MO | Speech, Language and Hearing Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
29754 Jockey St, La Plata, MO 635494008 | 6603461338 |
Street Address |
702 N MISSOURI ST |
City | MACON |
State | MO |
Zip Code | 63552 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306060926 | Macon County R-1 | Physical Therapist | 702 N Missouri St, Macon, MO 63552-2062 | 2007-04-13 |
1578080495 | Don Delrosario | Speech-Language Pathologist | 702 N Missouri St, Macon, MO 63552-2062 | 2017-08-23 |
1205296787 | Kayla Wilson | Speech-Language Pathologist | 702 N Missouri St, Macon, MO 63552-2062 | 2016-02-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891194783 | Dialysis Clinic Inc | Clinic/Center | 1203 N. Missouri St, Macon, MO 63552 | 2014-08-18 |
1477624161 | Charles Edgar Averill Jr. | Occupational Therapist | 704a South Missouri, Macon, MO 63552 | 2006-11-13 |
1629035084 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 1105 N Rutherford St, Macon, MO 63552 | 2006-04-28 |
1841316296 | Paul Vincent Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-03-21 |
1891908612 | Mid Missouri Physical Therapy | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-05-08 |
1366568735 | Lara Beth Jones | Physical Therapist | 2005 N. Missouri St., Suite D., Macon, MO 63552-0381 | 2007-03-21 |
1871619262 | Abby M Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0387 | 2007-03-21 |
1457715906 | Kimberly Oroke | Social Worker | 821 Charles St, Columbia, MO 63552-1064 | 2016-04-11 |
1679100507 | Macon County Sheltered Workshop | Private Vehicle | 1103 Enterprise Rd, Macon, MO 63552-1305 | 2020-03-23 |
1538270384 | James A Wilson | Dentist | 509 S Missouri St, Macon, MO 63552-1338 | 2006-08-31 |
Find all providers in zip 63552 |
Taxonomy Code | 235Z00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Speech-Language Pathologist |
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952757585 | Sarah Vanselous Spencer | Speech-Language Pathologist | 2720 Sheraton Dr # D-140, Macon, GA 31204 | 2016-05-12 |
1396103552 | Tracy Lucas | Speech-Language Pathologist | 127 River Forest Drive, Macon, GA 31211-6323 | 2016-02-03 |
1871961763 | Talia Rogers | Speech-Language Pathologist | 5021 Mercer University Dr, D3, Macon, GA 31210-5691 | 2015-09-09 |
1295116267 | Mable Anderson | Speech-Language Pathologist | 946 Summit Ave, Macon, GA 31211-1818 | 2015-06-15 |
1992112056 | Marilyn Martinez-bosch | Speech-Language Pathologist | 1872 Waverland Dr, Macon, GA 31211-1122 | 2014-07-21 |
1306273651 | Monique Whipple | Speech-Language Pathologist | 164 Summer Grove Lane, Macon, GA 31206 | 2013-10-02 |
1326320102 | Deirdre Lynne Maybank | Speech-Language Pathologist | 2720 Sheraton Dr, Suite D-140, Macon, GA 31204-1167 | 2011-09-16 |
1720308893 | Carla W Holt | Speech-Language Pathologist | 441 Ashville Dr, Macon, GA 31210-1684 | 2010-06-10 |
1053642454 | Carrie Mcelreath | Speech-Language Pathologist | 258 Belvedere Dr, Macon, GA 31204-1859 | 2010-01-25 |
1497986327 | Cassandra D Gaskins | Speech-Language Pathologist | 291 Plantation Centre Dr N Apt 2516, Macon, GA 31210-9245 | 2009-07-27 |
Find all providers in MACON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.