NPI 1114397189 · live from the CMS NPI Registry
Jewel Alvis, SLPD, CCC-SLP
Speech-Language Pathologist, in Leavenworth, KS. National Provider Identifier 1114397189, active.
NPI record
| NPI | 1114397189 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 2209 Spring Garden St, Leavenworth, KS 66048 |
| Practice phone | 913-306-1580 |
| Enumerated | October 2, 2015 |
| Last updated | September 2, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.