Organization
STATE OF KANSAS - ACCOUNTING SERVICES
Active
Other names
SCHIEFELBUSCH SPEECH-LANGUAGE-HEARING CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. WILLIAM MATT GILLISPIE PH.D. (CLINIC DIRECTOR)
(785) 864-4690
Entity
Organization
Contact information
Practice address
1200 SUNNYSIDE AVENUE, 2101 HAWORTH HALL, LAWRENCE, KS 66045-7534
(785) 864-4690
(785) 864-5094
Mailing address
1200 SUNNYSIDE AVE, 2101 HAWORTH HALL, LAWRENCE, KS 66045-7534
(785) 864-4690
(785) 864-5094
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
1158
KS
235Z00000X
Speech-Language Pathologist
Primary
00123
KS
235Z00000X
Speech-Language Pathologist
00233
KS
235Z00000X
Speech-Language Pathologist
00953
KS
235Z00000X
Speech-Language Pathologist
01870
KS
235Z00000X
Speech-Language Pathologist
02138
KS
235Z00000X
Speech-Language Pathologist
02157
KS
235Z00000X
Speech-Language Pathologist
02297
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011803
BCBS
KS
05
—
100008080D
—
KS
05
—
100215990A
—
KS
Enumeration date
09/22/2005
Last updated
10/06/2025
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