Leah Rae Conaway, M.A., CF-SLP

Individual provider Active NPI Speech-Language Pathologist · Saint James, MO

NPI 1992348825 · NPPES record last updated Oct 23, 2019

Key facts

NPI
1992348825
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2019032146 (MO)
Practice address
122 E Scioto St
Saint James, MO 65559-1718
Phone
(573) 265-2300
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 Arts

State licenses

LicenseStateTypeSpecialty
2019032146MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers Current
since Oct 27, 2019
Accepting new patients
St. James R-I School District Past
since Oct 27, 2019
Accepting new patients

Locations

314 S Jefferson St
Saint James, MO 65559
Phone (573) 265-2300

122 E Scioto St
Saint James, MO 65559
Phone (573) 265-2300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2019032146 MO Yes

Addresses

Primary practice location

122 E Scioto St
Saint James, MO 65559-1718

Mailing address

314 S Jefferson St
Saint James, MO 65559-1409
Phone (573) 265-2300

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL lrgibbs@stjschools.org Health Information Exchange (HIE)

Other providers in Saint James, MO

All providers in Saint James, MO · Speech-Language Pathologist in Missouri

Sources for this page

Verify at the official NPI Registry.