Doctor Name: | MRS. EVELYN M OTSUKA-DAVIS |
NPI Number: | 1033387915 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 00696 |
Business Practice Address: | 10300 W 103rd St Ste 300 Overland Park, KS - 662142658 |
Business Phone Number: | 9138941910 |
Business Fax Number: | |
Mailing Address: | 1228 W 63rd St, KANSAS CITY |
State: | MO |
Postal Code: | 641131513 |
Phone Number: | 8165235929 |
Fax Number: | |
NPI Enumeration Date: | 02/13/2008 |
NPI Last Update Date: | 02/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 00696 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |