Kerry Hannon Bender, ED.D, SLP

Individual provider Active NPI Speech-Language Pathologist · Chesterfield, MO

NPI 1992227755 · NPPES record last updated Aug 11, 2025

Key facts

NPI
1992227755
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2016026846 (MO)
Practice address
16216 Baxter Rd Ste 330
Chesterfield, MO 63017-4778
Phone
(636) 733-3330
NPI assigned
Jul 13, 2017
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

LicenseStateTypeSpecialty
2016026846MOMDSpeech-Language Pathologist
LL61426941WAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL61426941 WA
Speech-Language Pathologist 235Z00000X 2016026846 MO Yes

Addresses

Primary practice location

16216 Baxter Rd Ste 330
Chesterfield, MO 63017-4778

Mailing address

315 Statewood Drive
Ballwin, MO 63021
Phone (341) 315-6908

Other names

  • Ms. Kerry Marie Hannon Former name

Other providers in Chesterfield, MO

All providers in Chesterfield, MO · Speech-Language Pathologist in Missouri

Sources for this page

Verify at the official NPI Registry.