Doctor Name: | CAROLYN MICHELLE SHOWALTER |
NPI Number: | 1619316437 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,CCC-SLP |
License Number: | 111585 |
Business Practice Address: | 1801 S James St Harrisonville, MO - 647013469 |
Business Phone Number: | 8168844707 |
Business Fax Number: | |
Mailing Address: | 10903 W 101st Ter, OVERLAND PARK |
State: | KS |
Postal Code: | 662142534 |
Phone Number: | 9135225695 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2013 |
NPI Last Update Date: | 06/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 111585 |
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 |