Ruanna Maki, SLP
Individual provider Active NPI Speech-Language Pathologist · Goddard, KS
NPI 1023134673 · NPPES record last updated Sep 18, 2008
Key facts
- NPI
- 1023134673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2572 (KS)
- Practice address
- 4900 S 247TH St W
Goddard, KS 67052-9523 - Phone
- (316) 680-8611
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2572 | KS | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2572 | KS | Yes |
Addresses
Primary practice location
4900 S 247TH St W
Goddard, KS 67052-9523
Mailing address
PO Box 12004
Wichita, KS 67277-2004
Other providers in Goddard, KS
- Kings Camp Inc
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- Larry L Lee, Lscsw
- Kaylee Logan
- Andrea Lubbers
- Tim Mathias
- Eric McAnally
- Katie McClellan
- Catherine L Meadows
- Medicalodges, Inc.
All providers in Goddard, KS · Speech-Language Pathologist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.