Mary R. Ethridge , MS, CCC-SLP
Speech-Language Pathologist • Bolivar, MO
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mary Ethridge has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Mary Ethridge, MS, CCC-SLP was a registered Speech-Language Pathologist practicing in Bolivar, MO. Throughout an active medical career spanning 12 years, Mary Ethridge provided care at the practice location at 1009 HWY B until profile deactivation on 2020-09-30.
Practice Location & Contact Primary Location
1009 Hwy B
Bolivar, MO 656138252
Specialty Benchmarks & Practice Insights
Comparative analytics for Speech-Language Pathologist in Bolivar, MO
Practicing in Bolivar, MO (5112 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 235Z00000X
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 30, 2020
NPI status registered as active in NPPES database
Registered at 1009 HWY B, BOLIVAR, MO 656138252 (Tel: 4173266754)
Registered at 1009 HWY B, BOLIVAR, MO 656138252 (Tel: 4173266754)
Recorded as MARY ETHRIDGE, M.S.,CCC-SLP
Speech-Language Pathologist (License #106670 in MO)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1009 Hwy B
Bolivar, MO 656138252
Phone: 4173266754
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