Doctor Name: | MARY KATHERINE SUMAN |
NPI Number: | 1053583955 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 01933 |
Business Practice Address: | 5517 Nw 81st St Kansas City, MO - 641511257 |
Business Phone Number: | 8166861870 |
Business Fax Number: | 8167414387 |
Mailing Address: | 5517 Nw 81st St, KANSAS CITY |
State: | MO |
Postal Code: | 641511257 |
Phone Number: | 8166861870 |
Fax Number: | 8167414387 |
NPI Enumeration Date: | 03/31/2008 |
NPI Last Update Date: | 03/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 01933 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |