| Organization Name: | SOUTHEAST KANSAS SPEECH PATHOLOGY SERVICES, LLC |
| NPI Number: | 1487932760 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GENTRY A WHITE (OWNER) |
| Mailing Address: | 1800 E 4th St Suite B Pittsburg |
| State: | KS US |
| Postal Code: | 667628573 |
| Phone Number: | 6202322990 |
| Fax Number: | 6202322844 |
| NPI Enumeration Date: | 08/03/2011 |
| NPI Last Update Date: | 01/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2237 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| 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 |