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MIDWEST DYSPHAGIA DIAGNOSTICS PC NPI 1497119887


NPI Information

NPI: 1497119887
Provider Name: MIDWEST DYSPHAGIA DIAGNOSTICS PC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
1375 SW 100TH RD
HOLDEN, MO
ZIP 64040
Phone: (816) 986-0361
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MIDWEST DYSPHAGIA DIAGNOSTICS PC is a speech language pathologist in Holden, MO. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. MIDWEST DYSPHAGIA DIAGNOSTICS PC NPI is 1497119887. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1375 SW 100TH RD
HOLDEN, MO
ZIP 64040-440
Phone: (816) 986-0361
Fax: (816) 817-0922

The provider's authorized official is Ashley Beam .
The authorized official title is Speech Pathologist and has the following contact phone number (816) 986-0361.

The enumeration date for this NPI number is 4/11/2016 and was last updated on 9/20/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist2012041520MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1KA4003OTHERKANSASMEDICARE PTAN
2MA6285OTHERMISSOURIMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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