Individual
PHYLLIS CORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
721 METROPOLITAN AVE STE C, LEAVENWORTH, KS 66048-1403
(913) 362-7518
(913) 675-7093
Mailing address
24462 227TH ST, LEAVENWORTH, KS 66048-7138
(719) 331-5884
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5566
KS
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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