Individual
DIANN MATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 W 75TH ST STE 121, SHAWNEE MISSION, KS 66204-2241
(913) 362-7518
(913) 362-7302
Mailing address
10000 W 75TH ST STE 121, SHAWNEE MISSION, KS 66204-2241
(913) 362-7518
(913) 362-7302
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
01330
MO
235Z00000X
Speech-Language Pathologist
Primary
937
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
465033306
—
MO
Enumeration date
07/30/2006
Last updated
07/08/2007
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