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Individual

DEANNA KAY MALEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
10300 W 103RD ST, SUITE 300, OVERLAND PARK, KS 66214-2642
(913) 894-1910
Mailing address
8115 NE 99TH TER, KANSAS CITY, MO 64157-7842

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12002823
MO
235Z00000X
Speech-Language Pathologist
2001007193
MO
235Z00000X
Speech-Language Pathologist
Primary
2340
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2001007193
STATE LICENSE
MO
01
2340
STATE LICENSE
KS
Enumeration date
02/25/2007
Last updated
07/08/2007
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