Provider Demographics
NPI:1376140509
Name:CLAYPOOL, CASEY (MHS, CF-SLP)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:CLAYPOOL
Suffix:
Gender:F
Credentials:MHS, CF-SLP
Other - Prefix:
Other - First Name:CASEY
Other - Middle Name:
Other - Last Name:CLOGSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:901 EL CERRITO CT
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65101-5512
Mailing Address - Country:US
Mailing Address - Phone:573-353-7388
Mailing Address - Fax:
Practice Address - Street 1:100 DIX RD
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65109-0962
Practice Address - Country:US
Practice Address - Phone:573-659-3195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist