Organization
SOUTHEAST KANSAS SPEECH PATHOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENTRY A WHITE MA CCC-SLP (OWNER)
(620) 232-2990
Entity
Organization
Contact information
Practice address
1800 E 4TH ST, SUITE B, PITTSBURG, KS 66762-8573
(620) 232-2990
(620) 232-2844
Mailing address
1127 E 570TH AVE, PITTSBURG, KS 66762-8550
(620) 232-2990
(620) 232-2844
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2237
KS
Other
Enumeration date
08/03/2011
Last updated
01/24/2012
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