Individual
AMANDA NOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
10000 W 75TH ST STE 250, MERRIAM, KS 66204-2218
(913) 894-1910
Mailing address
17123 MONTE VERDE DR, BELTON, MO 64012-2837
(913) 523-5655
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2005040724
MO
235Z00000X
Speech-Language Pathologist
2271
KS
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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