Organization
SPEAK LIFE SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY MCDONOUGH SLP (OWNER)
(913) 396-1711
Entity
Organization
Contact information
Practice address
352 E CHEYENNE CT, KECHI, KS 67067-8629
(913) 396-1711
Mailing address
352 E CHEYENNE CT, KECHI, KS 67067-8629
(913) 396-1711
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3835
KANSAS STATE LICENSE
KS
Enumeration date
07/22/2020
Last updated
07/22/2020
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