Lana Jean Atkins, M.A. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Benton, MO
NPI 1407489727 · NPPES record last updated Feb 14, 2020
Key facts
- NPI
- 1407489727
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2009024534 (MO)
- Practice address
- 4035 State Highway 77
Benton, MO 63736-9162 - Phone
- (573) 545-3541
- NPI assigned
- Feb 14, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 2009024534 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott County R-IV School District | Speech-Language Pathologist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2009024534 | MO | Yes |
Addresses
Primary practice location
4035 State Highway 77
Benton, MO 63736-9162
Mailing address
4035 State Highway 77
Benton, MO 63736-9162
Phone (573) 545-3541
Other providers in Benton, MO
- A & a in-Home Health Care, LLC
- Blake Borders
- Jaimie Suzanne Cannon
- Comprehensive Family Health Care LLC
- Missouri Delta Medical Center
- Missouri Delta Medical Center
All providers in Benton, 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 Feb 14, 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.