Individual
ATHENA SIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2800 CLAY EDWARDS DR, NORTH KANSAS CITY, MO 64116-3220
(913) 676-2000
Mailing address
2800 CLAY EDWARDS DR, NORTH KANSAS CITY, MO 64116-3220
(816) 691-1795
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2020016125
MO
235Z00000X
Speech-Language Pathologist
4793
KS
235Z00000X
Speech-Language Pathologist
SP 18335
CA
Other
Enumeration date
09/20/2013
Last updated
05/10/2023
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