NPI 1366996365 · live from the CMS NPI Registry
Phillip Beatty
Speech-Language Pathologist, in Haysville, KS. National Provider Identifier 1366996365, active.
NPI record
| NPI | 1366996365 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 215 N Lamar Ave, Haysville, KS 67060 |
| Practice phone | 316-524-3211 |
| Mailing address | 919 E Wedgewood Dr, Derby, KS 67037 |
| Enumerated | August 8, 2016 |
| Last updated | August 8, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 2512 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.