DR. DIDERIKA M TELTING


Address: 1531 E Bradford Pkwy, Suite 205, Springfield, MO 65804-6853
Phone: 4178830043

DR. DIDERIKA M TELTING (NPI# 1760793483) 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) 1760793483
Entity Type Individual
Full Name DR. DIDERIKA M TELTING
Other Name DR. DEE M TELTING
Credential PH.D., CCC-SLP
Practice Address 1531 E Bradford Pkwy
Suite 205
Springfield
MO 65804-6853
Practice Telephone 4178830043
Practice Fax Number 4178830043
Mailing Telephone 4178830043
Mailing Fax Number 4178830043
Enumeration Date 2010-06-28
Last Update Date 2016-06-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 01983 MO Speech, Language and Hearing Service Providers

Office Location

Street Address 1531 E BRADFORD PKWY
SUITE 205
City SPRINGFIELD
State MO
Zip Code 65804-6853

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NPI Name Taxonomy Address Enumeration
1588667208 Bradford Place Surgery and Laser Center LLC Clinic/Center 1531 E Bradford Pkwy, Ste 120, Springfield, MO 65804-6539 2005-05-27
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1184915472 Creative Renewal & Resolutions, LLC Psychologist 1531 E Bradford Pkwy, Ste 210-4, Springfield, MO 65804-6566 2011-04-21
1033427810 Renae Marie Courtney Psychologist 1531 E Bradford Pkwy, Suite 304, Springfield, MO 65804-6566 2010-09-15
1336300466 Reynolds Plastic Surgery LLC Specialist 1531 E Bradford Pkwy, Suite 215, Springfield, MO 65804-6566 2008-06-20
1801097951 N Eugene Morrow Md LLC Dermatology 1531 E Bradford Pkwy, Suite 215, Springfield, MO 65804-6539 2007-05-29
1144277252 Missouri Eye Institute LLC Optometrist 1531 E Bradford Pkwy, Suite 100, Springfield, MO 65804-6566 2006-05-27
1568433886 Kathleen F Lemon Psychologist 1531 E Bradford Pkwy, Ste 210-1, Springfield, MO 65804-6856 2006-01-27
1184695496 Ginger A Holczer Psychologist 1531 E Bradford Pkwy, Suite 202, Springfield, MO 65804-6566 2006-01-27
1093701211 Daniel R Osborn Ophthalmology 1531 E Bradford Pkwy, Suite 100, Springfield, MO 65804-6566 2005-09-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790393049 Kathy Forson Nurse Practitioner 1235 E. Cherokee St., Springfield, MO 65804 2020-07-22
1306498779 Anne B Summers, LLC Social Worker 1310 E. Kingsley St., Ste C, Springfield, MO 65804 2019-07-15
1790241800 Margaret Mary Hart Social Worker 1845 S Rogers Ave, Springfield, MO 65804 2019-02-13
1598254666 Casey Carr Optometrist 1229 E Seminole St Ste 110, Springfield, MO 65804 2018-05-04
1124520697 Shelby D White Behavioral Analyst 1300 E. Bradford Parkway, Springfield, MO 65804 2018-03-01
1316448343 Karl Lynham Massage Therapist 1200 E Woodhurst Dr R300, Springfield, MO 65804 2018-02-25
1699273763 Leah Wilson Counselor 1322 E Woodgate, Springfield, MO 65804 2018-01-24
1295242626 Matthew Crisp Physical Therapist 3252 E Independence St, Springfield, MO 65804 2018-01-08
1518491042 Crystal Spangler Dietitian, Registered 1965 S Fremont Ave Ste 220, Springfield, MO 65804 2017-04-11
1588012033 Jeffrey Williams Pharmacist 1235 E. Cherokee, Springfield, MO 65804 2016-05-25
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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
1023623105 Heather Dugas Speech-Language Pathologist 25190 Blood River Road, Springfield, LA 70462 2020-09-15
1871107003 Paige Marie Steer Speech-Language Pathologist 531 W Harding Rd, Springfield, OH 45504-1708 2020-09-04
1578173241 Kelley Hickman Speech-Language Pathologist 897 S 55th Pl, Springfield, OR 97478-6978 2020-08-06
1639792740 Lindsay Anne Douglas Speech-Language Pathologist 3050 S National Ave Ste 106, Springfield, MO 65804-4242 2020-05-22
1770106320 Jeanette Spirides Speech-Language Pathologist 7811 Jansen Dr, Springfield, VA 22152-2423 2020-05-18
1346862505 Elisabeth Amy Mlawski Speech-Language Pathologist 16 Elmwood Rd, Springfield, NJ 07081-2419 2020-05-11
1720623929 Amber Dejianne Speech-Language Pathologist 100 Stone Hill Rd Apt J2, Springfield, NJ 07081-2126 2019-11-12
1558902775 Stephanie L Mcbratney Speech-Language Pathologist 3510 E Whitehall Dr, Springfield, MO 65809-2135 2019-09-30
1407407968 Sadie L Shields Speech-Language Pathologist Its 3131 Tom Austin Highway, Springfield, TN 37172 2019-09-26
1164071445 Desiree Herring Speech-Language Pathologist 103 Runnymead Dr, Springfield, TN 37172-5730 2019-09-09
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Competitor

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City SPRINGFIELD
Zip Code 65804

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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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