Individual
MICHELLE GUMMIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
398 BLUE JAY DR, LIBERTY, MO 64068-1977
(816) 407-2315
(816) 407-1555
Mailing address
2525 GLENN HENDREN DR, LIBERTY, MO 64068-9600
(816) 792-2000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2017005020
MO
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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