Stacy R. Desutter, M.S., CCC-SLP

Speech-Language Pathologist · Joplin, MO

Individual Active NPI

NPI number 1205040276

Practice location

St. John's Regional Medical Center
2727 McClelland Blvd
Joplin, MO 64804
Phone
(417) 625-2498
Fax
(417) 625-2097

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NPI record

NPI
1205040276
Entity type
Individual (Type 1)
Enumeration date
May 9, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 102022 MO

Mailing address

1608 Joplin St
Sarcoxie, MO 64862-9251
Phone
(417) 548-3906

About Stacy Desutter

Stacy R. Desutter, M.S., CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is St. John's Regional Medical Center, 2727 McClelland Blvd, Joplin, MO 64804. The NPI number 1205040276 was assigned on May 9, 2007 and the record was last updated on July 8, 2007.

Stacy Desutter lists a license in the registry: #102022 (MO) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stacy R. Desutter, M.S., CCC-SLP?

The NPI number is 1205040276.

What is the phone number of Stacy Desutter?

The phone number listed for the practice location is (417) 625-2498.

Where is Stacy Desutter located?

St. John's Regional Medical Center, 2727 McClelland Blvd, Joplin, MO 64804.

What is the taxonomy code for Stacy Desutter?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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