Doctor Name: | MRS. STEPHANIE MARCIA KNOLLHOFF |
NPI Number: | 1366714818 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 2009019319 |
Business Practice Address: | 1200 Sunnyside Ave 2101 Haworth Lawrence, KS - 660457600 |
Business Phone Number: | 7858644690 |
Business Fax Number: | 7858645094 |
Mailing Address: | 1200 Sunnyside Ave, 2101 Haworth LAWRENCE |
State: | KS |
Postal Code: | 660457600 |
Phone Number: | 7858644690 |
Fax Number: | 7858645094 |
NPI Enumeration Date: | 01/30/2012 |
NPI Last Update Date: | 03/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2009019319 |
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 |