Betty Louise Bunce, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Lawrence, KS
NPI 1053458448 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1053458448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 00123 (KS)
- Practice address
- 1200 Sunnyside Ave
2101 Haworth Hall
Lawrence, KS 66045-7534 - Phone
- (785) 864-4690
- Fax
- (785) 864-5094
- NPI assigned
- Feb 1, 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 |
|---|---|---|---|
| 00123 | KS | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 00123 | KS | Yes |
Addresses
Primary practice location
1200 Sunnyside Ave
2101 Haworth Hall
Lawrence, KS 66045-7534
Mailing address
1200 Sunnyside Ave
2101 Haworth Hall
Lawrence, KS 66045-7534
Phone (785) 864-4690
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018369 | Other | KS | BLUE CROSS BLUE SHIELD |
Other providers in Lawrence, KS
- Brooklyn Marie Buehler
- Traci Ann Buelt
- Paige Buffington
- Janelle Bugg
- David Willett Bullock
- Jill S Burgen
- Brittany Burgess
- Jeffrey A Burgess
- Brittany Burkett
- Savannah Burks
All providers in Lawrence, 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 Jul 8, 2007. 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.