Kristen Leigh Roberts, MS CCC SLP
Individual provider Active NPI Speech-Language Pathologist · Willard, MO
NPI 1992821912 · NPPES record last updated Feb 20, 2009
Key facts
- NPI
- 1992821912
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2006014640 (MO)
- Practice address
- Willard R-II Schools
407 Farmer Rd
Willard, MO 65781-9509 - Phone
- (417) 742-0930
- Fax
- (417) 742-0841
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006014640 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willard R-II Schools | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2006014640 | MO | Yes |
Addresses
Primary practice location
Willard R-II Schools
407 Farmer Rd
Willard, MO 65781-9509
Mailing address
407 Farmer Rd
Willard, MO 65781-9509
Phone (417) 742-0930
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 467002507 | Medicaid | MO |
Other providers in Willard, MO
- Nicole Pounds
- Stephen Goodwin Powell
- Regional Services
- Alice R. Riedel
- Erin Kathleen Rippee
- Damon Charles Robison
- David Gene Robison
- Rock Prairie Wellness Clinic, LLC
- Samuel B Sanders
- Jill Marie Sellmeyer
All providers in Willard, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2009. 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.