Dana McCullick
Individual provider Active NPI Speech-Language Pathologist · Frontenac, KS
NPI 1881897239 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1881897239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2246 (KS)
- Practice address
- 206 S Dittman St
Frontenac, KS 66763-2253 - Phone
- (615) 896-6400
- NPI assigned
- Jun 5, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2246 | KS | MD | Speech-Language Pathologist |
| 105132 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 105132 | MO | |
| Speech-Language Pathologist | 235Z00000X | 2246 | KS | Yes |
Addresses
Primary practice location
206 S Dittman St
Frontenac, KS 66763-2253
Mailing address
2995 E 770 Rd
El Dorado Springs, MO 64744-8328
Phone (417) 876-5199
Other providers in Frontenac, KS
- Jill Saia Pile DDS PA
- Jims Properties LLC
- JLMS Properties, LLC
- Daniel Knaup
- Sheena Kosman
- Marie McIntyre
- Medical Consultants of Pittsburg, Inc.
- Medicalodges, Inc.
- Megan Rene Morris
- Pamela Sue Murphy
All providers in Frontenac, 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 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.