Abby Anthony
Individual provider Active NPI Speech-Language Pathologist · Derby, KS
NPI 1376092270 · NPPES record last updated Oct 3, 2016
Key facts
- NPI
- 1376092270
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3086 (KS)
- Practice address
- 2019 N Forest Park St
Derby, KS 67037-3126 - Phone
- (316) 207-1817
- NPI assigned
- Oct 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 3086 | KS | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3086 | KS | Yes |
Addresses
Primary practice location
2019 N Forest Park St
Derby, KS 67037-3126
Mailing address
2019 N Forest Park St
Derby, KS 67037-3126
Phone (316) 207-1817
Other providers in Derby, KS
- Joshua Lee Altwine
- Lorraine Alvarado
- Amber Harris, Lcmft
- Amy Meek Family Therapy Group LLC
- Angela Clausius, LLC
- Ascension Via Christi Hospital St Peter LLC
- Aspire Home Medical LLC
- Liliana Avendano-Aranda
- Azd Derby, LLC
- Bailey Holdings LLC
All providers in Derby, 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 Oct 3, 2016. 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.