Individual
DEBORA A DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA SLP
Contact information
Practice address
3901 RAINBOW BLVD., 2032 SCHOOL OF NURSING, MAIL STOP 4043, KANSAS CITY, KS 66160-7389
(866) 249-9736
Mailing address
PO BOX 307, STILWELL, KS 66085-0307
(866) 249-9736
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
164
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29541028
BCBS PROVIDER #
—
Enumeration date
08/18/2006
Last updated
05/28/2009
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