NPI 1972238640 · live from the CMS NPI Registry
Taylor R Bock, M.S., CCC-SLP
Speech-Language Pathologist, in Leawood, KS. National Provider Identifier 1972238640, active.
NPI record
| NPI | 1972238640 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 3715 W 133rd St, Leawood, KS 66209 |
| Practice phone | 816-222-0679 |
| Mailing address | 1851 Nw 38th St Apt 203, Kansas City, MO 64116 |
| Enumerated | July 18, 2022 |
| Last updated | July 18, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 4911 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.