Dana Lynn Ewbank, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2007016422 Issued in MO

Practice address

2201 Glenn Hendren Dr
Liberty, MO 64068-3375

Phone

(816) 792-2211

NPI assigned

Jan 16, 2015

Last updated

Jan 16, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1417346255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 DUNWICH DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683042",
            "telephone_number": "816-695-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 GLENN HENDREN DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683375",
            "telephone_number": "816-792-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWBANK",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2007016422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph E Evans, DDS
• Jennifer Everett, CRNA
• Maryn Elizabeth Everly
• Katherine Whitney Evers
• Evolve Therapy & Wellness LLC
• Isabel Fabian
• Deniese H Fahnbulleh
• Sophie Renee Falcon-Cordero, OTR
• John Joseph Fanska, LPC
• Neva Marie Farrar, DOCTOR OF PHARMACY

• Speech-Language Pathologist in Liberty, MO
• Providers in Liberty, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.