| Doctor Name: | JAMES WALTER GREENSLADE |
| NPI Number: | 1487011003 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S., CCC-SLP |
| License Number: | 2015038134 |
| Business Practice Address: | 15301 W 87th St Suite 200 Lenexa, KS - 662191401 |
| Business Phone Number: | 9134924888 |
| Business Fax Number: | 9134924741 |
| Mailing Address: | 909 Walnut St Apt 1902, KANSAS CITY |
| State: | MO |
| Postal Code: | 641062027 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/27/2016 |
| NPI Last Update Date: | 01/27/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2015038134 |
| 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 |