Khetlhamany Erika Bannavong, M.A., CCC-SLP
NPI #1245945567 in West Liberty, Iowa
Provider Information
- NPI Number
- 1245945567
- Entity Type
- Individual
- Name
- Khetlhamany Erika Bannavong, M.A., CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.A., CCC-SLP
- Enumeration Date
- Jan 20, 2023
- Last Updated
- Feb 17, 2025
Practice Location
- Address
- 1253 ELDER RIDGE RD
- City
- West Liberty
- State
- Iowa
- ZIP Code
- 52776-9161
- Phone
- (195) 417-7853
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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Organizations
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|---|---|
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