Organization
DINO-MITE SPEECH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANELLE GRACE MYERS MA, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(316) 640-2367
Entity
Organization
Contact information
Practice address
609 S LONGBRANCH DR, MAIZE, KS 67101-7006
(316) 640-2367
Mailing address
609 S LONGBRANCH DR, MAIZE, KS 67101-7006
(316) 640-2367
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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