Individual
LAUREL ELISABETH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5290 SYCAMORE AVE, KANSAS CITY, MO 64129-2365
(816) 268-7210
Mailing address
5290 SYCAMORE AVE, KANSAS CITY, MO 64129-2365
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2019039023
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019039023
MISSOURI BOARD OF HEALING ARTS
MO
Enumeration date
10/15/2019
Last updated
10/15/2019
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