Heather Deneane Bersuch
Individual provider Active NPI Speech-Language Pathologist · Blue Springs, MO
NPI 1154463586 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154463586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2000163575 (MO)
- Practice address
- 2133 NW 13TH St
Blue Springs, MO 64015-7734 - Phone
- (816) 224-0003
- Fax
- (816) 224-2199
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 2000163575 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul Chang, R.P.T. P.C. | Past | Accepting new patients | |
| Paul Chang, R.P.T., P.C. | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2000163575 | MO | Yes |
Addresses
Primary practice location
2133 NW 13TH St
Blue Springs, MO 64015-7734
Mailing address
313 SE Gingerbread LN
Blue Springs, MO 64014-3612
Phone (816) 229-6228
Other names
- Heather Deneane Prangle
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- Anne Bennett
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- Brianna Betzen
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All providers in Blue Springs, MO · Speech-Language Pathologist in Missouri
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.