IndividualActive
Amy Vangorden
NPI 1003970377 · Speech-Language Pathologist · Nixa, MO
Provider details
- NPI number
- 1003970377
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 109945 (MO)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
205 North St
Annex B
Nixa, MO 65714
Phone: (417) 724-4040
Fax: (417) 724-4039
Approximate (ZIP-level) locationGet directions
Mailing address
205 North St
Nixa, MO 65714
Registry dates
- Enumerated
- 2006-12-21
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.