Savannah Autem
Individual provider Active NPI Speech-Language Pathologist · Liberty, MO
NPI 1659914745 · NPPES record last updated Oct 22, 2019
Key facts
- NPI
- 1659914745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2016023418 (MO)
- Practice address
- 1908 Plumbers Way Ste 400
Liberty, MO 64068-7453 - Phone
- (913) 362-7518
- NPI assigned
- Oct 22, 2019
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016023418 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deborah a King Ma & Associates Inc | Speech-Language Pathologist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2016023418 | MO | Yes |
Addresses
Primary practice location
1908 Plumbers Way Ste 400
Liberty, MO 64068-7453
Mailing address
10000 W 75TH St Ste 121
Shawnee Mission, KS 66204-2241
Phone (913) 362-7518
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- Wesley Atkinson-Smith
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- Attigo Infusion Missouri LLC
- Morgan Johnson Ayers
- Adam Wallace Baca
- Jill Bachman
- Deann L. Back
- Alicia Baker
All providers in Liberty, 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 Oct 22, 2019. 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.