Glenda Susan Bowles, M.S., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Hays, KS

NPI 1326248014 · NPPES record last updated Jul 20, 2007

Key facts

NPI
1326248014
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
00458 (KS)
Practice address
94 Lewis Dr
Hays, KS 67601-4020
Phone
(785) 625-3257
Fax
(785) 625-8557
NPI assigned
Jul 20, 2007
Sex
Female
Sole proprietor
Yes

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)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
00458KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Area Childrens Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 00458 KS Yes

Addresses

Primary practice location

94 Lewis Dr
Hays, KS 67601-4020

Mailing address

94 Lewis Dr
Hays, KS 67601
Phone (785) 625-3257

Other providers in Hays, KS

All providers in Hays, KS · Speech-Language Pathologist in Kansas

Sources for this page

Verify at the official NPI Registry.