Individual
ANGELA M VANDEVENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8019 ALDEN ST, LENEXA, KS 66215-4227
(913) 963-3715
Mailing address
8019 ALDEN ST, LENEXA, KS 66215-4227
(913) 963-3715
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2006010653
MO
235Z00000X
Speech-Language Pathologist
2658
NE
Other
Enumeration date
09/10/2009
Last updated
09/26/2024
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