| NPI | 1477796134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS MICHAEL Manager 816-931-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2006032682) |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2009-04-10 |