Mary L. Anderson, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Concordia, KS
NPI 1659508141 · NPPES record last updated Jun 11, 2009
Key facts
- NPI
- 1659508141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- S-00438 (KS)
- Practice address
- 327 W 9TH St
Concordia, KS 66901-3411 - Phone
- (785) 614-1458
- NPI assigned
- Jun 11, 2009
- 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 |
|---|---|---|---|
| S-00438 | KS | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | S-00438 | KS | Yes |
Addresses
Primary practice location
327 W 9TH St
Concordia, KS 66901-3411
Mailing address
327 W 9TH St
Concordia, KS 66901-3411
Phone (785) 614-1458
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- Jordan Aggson
- Aubrey Anderson
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- Auburn Pharmacy, Inc.
- Judy A Baugh
All providers in Concordia, 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 Jun 11, 2009. 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.