Individual
TYLEASE MECHELLE DEPRIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CF-SLP
Contact information
Practice address
1313 S HIGH ST, EL DORADO, KS 67042-3751
(316) 320-4140
Mailing address
5917 N MILLSBORO ST, PARK CITY, KS 67219-1670
(817) 470-1241
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3584
KS
Other
Enumeration date
11/21/2020
Last updated
11/21/2020
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