Doctor Name: | MISS MARY STANLEY |
NPI Number: | 1992163661 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC SLP |
License Number: | 2011003504 |
Business Practice Address: | 13418 Santa Fe Trail Dr Lenexa, KS - 662153655 |
Business Phone Number: | 9136898272 |
Business Fax Number: | |
Mailing Address: | 16685 S Lind Rd, OLATHE |
State: | KS |
Postal Code: | 660627870 |
Phone Number: | 8167857821 |
Fax Number: | |
NPI Enumeration Date: | 02/09/2016 |
NPI Last Update Date: | 02/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2011003504 |
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 |