Darcel Amber Stallbaumer, MS/CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Baileyville, KS
NPI 1891038360 · NPPES record last updated Apr 2, 2013
Key facts
- NPI
- 1891038360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3346 (KS)
- Practice address
- 276 2ND St
Baileyville, KS 66404-8477 - Phone
- (785) 738-0060
- NPI assigned
- Apr 2, 2013
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3346 | KS | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3346 | KS | Yes |
Addresses
Primary practice location
276 2ND St
Baileyville, KS 66404-8477
Mailing address
276 2ND St
Baileyville, KS 66404-8477
Phone (785) 738-0060
Other names
- Miss Darcel Amber Gronewoller
Other providers in Baileyville, KS
All providers in Baileyville, 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 2, 2013. 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.