Tylease Mechelle Depriest, MA CF-SLP
Individual provider Active NPI Speech-Language Pathologist · El Dorado, KS
NPI 1285237172 · NPPES record last updated Nov 21, 2020
Key facts
- NPI
- 1285237172
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3584 (KS)
- Practice address
- 1313 S High St
El Dorado, KS 67042-3751 - Phone
- (316) 320-4140
- NPI assigned
- Nov 21, 2020
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3584 | KS | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3584 | KS | Yes |
Addresses
Primary practice location
1313 S High St
El Dorado, KS 67042-3751
Mailing address
5917 N Millsboro St
Park City, KS 67219-1670
Phone (817) 470-1241
Other providers in El Dorado, KS
- Daniel Davis
- Jazmine Dawdy
- Kathryn Dean
- Marcus Le Deaver
- Kenneth R Dellett
- Aric Brendan Deyoung
- Dillon Companies LLC
- Rebecca L Doan
- DRS Joyce & Hursh, LLC
- Kyong Duncan
All providers in El Dorado, 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 Nov 21, 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.