Individual
PATRICE M FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3400 S 4TH TRAFFICWAY, SUITE C, LEAVENWORTH, KS 66048-5012
(913) 651-1000
(913) 651-3030
Mailing address
PO BOX 188, LEAVENWORTH, KS 66048-0188
(913) 651-1000
(913) 651-3030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1664
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115721
BCBS OF KANSAS
KS
Enumeration date
05/17/2007
Last updated
07/08/2007
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