Provider Demographics
NPI:1235274390
Name:CURNUTTE, SANDRA KAYE (MS,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:KAYE
Last Name:CURNUTTE
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 411
Mailing Address - Street 2:
Mailing Address - City:DREXEL
Mailing Address - State:MO
Mailing Address - Zip Code:64742-0411
Mailing Address - Country:US
Mailing Address - Phone:660-267-3326
Mailing Address - Fax:660-267-3326
Practice Address - Street 1:RT. 1, BOX 27AA
Practice Address - Street 2:
Practice Address - City:AMSTERDAM
Practice Address - State:MO
Practice Address - Zip Code:64723
Practice Address - Country:US
Practice Address - Phone:660-267-3326
Practice Address - Fax:660-267-3326
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001007757235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist