NPI 1477839058 · live from the CMS NPI Registry
Sarah Boulton
Speech-Language Pathologist, in Overland Park, KS. National Provider Identifier 1477839058, active.
NPI record
| NPI | 1477839058 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 11523 Goddard St, Overland Park, KS 66210 |
| Practice phone | 019-901-7346 |
| Enumerated | October 27, 2011 |
| Last updated | October 27, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 2010032478 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.