Individual
THERESA L SONDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
129 NE PARKS VIEW CT, LEES SUMMIT, MO 64064-2353
(816) 588-3782
(816) 350-7668
Mailing address
8337 HARVARD TER, RAYTOWN, MO 64138-3662
(816) 695-1171
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2005016222
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36262011
BCBS - OT
MO
01
—
36262021
BCBS - OC
MO
Enumeration date
10/24/2006
Last updated
07/09/2007
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