NPIMap

John Allard, SLP

Individual provider Active NPI Speech-Language Pathologist · Overland Park, KS

NPI 1265059562 · NPPES record last updated Jul 2, 2020

Key facts

NPI
1265059562
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2019021607 (MO)
Practice address
3795 W 95TH St
Overland Park, KS 66206-2036
Phone
(913) 286-0422
Fax
(844) 380-0832
NPI assigned
Jul 2, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2019021607MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
KC Developmental Therapies, LLC Speech-Language Pathologist Current
since Jul 5, 2020		 Accepting new patients

Locations

3795 W 95th St
Overland Park, KS 66206
Phone (913) 286-0422

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2019021607 MO Yes

Addresses

Primary practice location

3795 W 95TH St
Overland Park, KS 66206-2036

Mailing address

3795 W 95TH St
Overland Park, KS 66206-2036
Phone (913) 286-0422

Other providers in Overland Park, KS

All providers in Overland Park, KS · Speech-Language Pathologist in Kansas

Sources for this page

Verify at the official NPI Registry.