Provider Demographics
NPI:1689910762
Name:SALUS RESEARCH & INVERVENTION LLC
Entity Type:Organization
Organization Name:SALUS RESEARCH & INVERVENTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ALLSOP
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:417-818-3828
Mailing Address - Street 1:P.O. BOX 14277
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65814
Mailing Address - Country:US
Mailing Address - Phone:417-732-7424
Mailing Address - Fax:417-732-7102
Practice Address - Street 1:606 N. PINEWOOD AVE
Practice Address - Street 2:
Practice Address - City:REPUBLIC
Practice Address - State:MO
Practice Address - Zip Code:65814
Practice Address - Country:US
Practice Address - Phone:417-732-7424
Practice Address - Fax:417-732-7102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000173359235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO12027633OtherASHA