Shelby Roseretta Stangl, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Gower, MO
NPI 1154920528 · NPPES record last updated Oct 18, 2020
Key facts
- NPI
- 1154920528
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 8965 W Highway 116
Gower, MO 64454-8483 - Phone
- (816) 462-8111
- NPI assigned
- Oct 18, 2020
- Sex
- Female
- Sole proprietor
- No
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 Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Speech and Language Therapy LLC | Speech-Language Pathologist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
8965 W Highway 116
Gower, MO 64454-8483
Mailing address
8965 W Highway 116
Gower, MO 64454-8483
Phone (816) 462-8111
Other providers in Gower, MO
- Northwest Health Services, Inc.
- Linsey Pflugradt
- Diane Plunkett Drake
- Lacey Raymond
- Serenity Speech and Language Therapy LLC
- Devin Utz
- April Ina Wamsley
All providers in Gower, 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 Oct 18, 2020. 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.