Individual provider · Type 1 NPI

Teresa Kathleen Vivod

Speech-Language Assistant · Houston, MO

NPI number 1861363749 Active

Practice location

206 W Spruce St
Houston, MO 65483-1126

Mailing address

4112 S Hwy E
Norwood, MO 65717-9369

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801X2022037040 (MO)

Speech-Language Assistant: Definition to come...

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About NPI 1861363749

Teresa Kathleen Vivod's National Provider Identifier is 1861363749, issued on Sep 15, 2025. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Houston, MO. The record was last updated on Sep 15, 2025.