NPIMap

Organization Active NPI

Mallory Steffen Speech Therapy, LLC

  • Speech-Language Pathologist
  • Odessa, MO
National Provider Identifier
1972856698
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2008008306 Issued in MO
Legal business name
MALLORY STEFFEN SPEECH THERAPY, LLC
Practice address
701 Opera House LN
Odessa, MO 64076-1624
Phone
(816) 785-2284
Fax
(816) 633-4371
NPI assigned
Oct 18, 2012
Last updated
Oct 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mallory Lynn SteffenNPI 1972779742
Title
Owner/Speech-Language Pathologist
Phone
(816) 785-2284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2008008306 MO Primary

Addresses

Primary practice location

701 Opera House LN
Odessa, MO 64076-1624

Mailing address

701 Opera House LN
Odessa, MO 64076-1624
Phone (816) 785-2284

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1972856698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 OPERA HOUSE LN",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640761624",
            "telephone_number": "816-785-2284",
            "fax_number": "816-633-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 OPERA HOUSE LN",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640761624",
            "telephone_number": "816-785-2284",
            "fax_number": "816-633-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLORY STEFFEN SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "STEFFEN",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "816-785-2284"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2008008306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.