Provider Demographics
NPI:1245003102
Name:TERZOPOULOS, PANAGIOTA
Entity type:Individual
Prefix:
First Name:PANAGIOTA
Middle Name:
Last Name:TERZOPOULOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3710 BENT OAK DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-5890
Mailing Address - Country:US
Mailing Address - Phone:573-823-3370
Mailing Address - Fax:
Practice Address - Street 1:411 MO-124
Practice Address - Street 2:
Practice Address - City:HALLSVILLE
Practice Address - State:MO
Practice Address - Zip Code:65255
Practice Address - Country:US
Practice Address - Phone:573-696-2282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant