| Doctor Name: | MRS. STACY L. PATE |
| NPI Number: | 1811029820 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, CCC-SLP |
| License Number: | 2053 |
| Business Practice Address: | 6400 Glenwood St Suite 205 Overland Park, KS - 662024016 |
| Business Phone Number: | 9134322900 |
| Business Fax Number: | 9134322901 |
| Mailing Address: | 4807 W 62nd St, MISSION |
| State: | KS |
| Postal Code: | 662053034 |
| Phone Number: | 9133625958 |
| Fax Number: | |
| NPI Enumeration Date: | 03/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2053 |
| 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 |