| NPI | 1386936599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN GERHARDT Medicaid Coordinator 816-986-3225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 01367) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2011-05-05 |