Melissa Adamic
Individual provider Active NPI Speech-Language Pathologist · Olathe, KS
NPI 1760879548 · NPPES record last updated Apr 20, 2015
Key facts
- NPI
- 1760879548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3749 (KS)
- Practice address
- 26752 W 109TH St
Olathe, KS 66061-7499 - Phone
- (314) 706-4510
- NPI assigned
- Apr 20, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3749 | KS | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3749 | KS | Yes |
Addresses
Primary practice location
26752 W 109TH St
Olathe, KS 66061-7499
Mailing address
26752 W 109TH St
Olathe, KS 66061-7499
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All providers in Olathe, 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 Apr 20, 2015. 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.