Angela Marie Kay, MS CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · De Soto, MO
NPI 1407055460 · NPPES record last updated Jul 11, 2007
Key facts
- NPI
- 1407055460
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 112124 (MO)
- Practice address
- 1108 Clarke St
De Soto, MO 63020-2706 - Phone
- (636) 586-3022
- NPI assigned
- Jul 11, 2007
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112124 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 112124 | MO | Yes |
Addresses
Primary practice location
1108 Clarke St
De Soto, MO 63020-2706
Mailing address
4085 Brook Ridge Dr
Arnold, MO 63010-4845
Phone (636) 223-0440
Other providers in De Soto, MO
- Hometown Healthcare of Desoto LLC
- John W Hussman
- Alyson Kay Jacobson
- Robert J Janas
- Dalton Jones
- Stacy Jo Kettler
- Kalina M Kohlfeld
- Amy Christina Lane
- Renee Kathleen Lane
- Marlee Langendoerfer
All providers in De Soto, 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 Jul 11, 2007. 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.