Self Employed
NPI #1205224904 in Overland Park, Kansas
Provider Information
- NPI Number
- 1205224904
- Entity Type
- Organization
- Organization Name
- Self Employed
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jan 3, 2015
- Last Updated
- Jan 3, 2015
Practice Location
- Address
- 11608 W 101ST TER
- City
- Overland Park
- State
- Kansas
- ZIP Code
- 66214-2710
- Phone
- (913) 484-7194
Authorized Official
- Name
- MRS. LEZLI R CARSON, M.A., CCC-SLP, M.ED.
- Title
- SPEECH-LANGUAGE PATHOLOGIST,
- Phone
- (913) 484-7194
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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