Despina (Penny) Angela Kyramarios, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Weldon Spring, MO
NPI 1831249259 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831249259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 0336340 (MO)
- Practice address
- 4810 Meadows Pkwy
Weldon Spring, MO 63304-2227 - Phone
- (636) 851-6016
- Fax
- (636) 851-6198
- NPI assigned
- Jan 10, 2007
- 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)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0336340 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0336340 | MO | Yes |
Addresses
Primary practice location
4810 Meadows Pkwy
Weldon Spring, MO 63304-2227
Mailing address
1003 Claytonbrook Dr
Ballwin, MO 63011-1586
Phone (636) 256-2467
Other providers in Weldon Spring, MO
- Jason H Kirkpatrick
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- Kimberly Christen Koors
- Spencer Kronauge
- Sara Jane Krone
- Tamara A Lakinger
- Christina Melin Larrigan
- Mallory Gail Lavin
- Lawlor Chiropractic LLC
- Jeffrey Thomas Lawlor
All providers in Weldon Spring, 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 Jul 8, 2007. 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.