Nancy Jo Hageman, M.A., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Cheney, KS
NPI 1124200829 · NPPES record last updated Dec 4, 2007
Key facts
- NPI
- 1124200829
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2743 (KS)
- Practice address
- 724 North Jefferson
Cheney, KS 67025 - Phone
- (316) 540-3691
- NPI assigned
- Dec 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2743 | KS | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cheney Golden Age Home, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2743 | KS | Yes |
Addresses
Primary practice location
724 North Jefferson
Cheney, KS 67025
Mailing address
2072 S Fieldcrest St
Wichita, KS 67209-3210
Phone (620) 532-6001
Other providers in Cheney, KS
- Cheney Usd 268
- Hope Cramer
- Mary K Goodwin
- Gould Chiropractic Cheney Health Center
- Steven Jay Gould
- Hague Chiropractic LLC
- Samantha Hague I
- Holistic Healing LLC
- Kimberly Kay Keller
- Kingman Drug Inc
All providers in Cheney, 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 Dec 4, 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.