Individual
TANNER JAYDE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, SLP
Contact information
Practice address
10000 W 75TH ST, OVERLAND PARK, KS 66204-2209
(913) 894-1910
Mailing address
10000 W 75TH ST, OVERLAND PARK, KS 66204-2209
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2018017191
MO
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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