MRS. IRIS LADAWN GAERDITZ


Address: 702 N Missouri St, Macon, MO 63552
Phone: 6603852118

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 2007019898 MO Speech, Language and Hearing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
29754 Jockey St, La Plata, MO 635494008 6603461338

Office Location

Street Address 702 N MISSOURI ST
City MACON
State MO
Zip Code 63552

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City MACON
Zip Code 63552

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Dataset Information

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.

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