Individual
JENNIFER EDEN DEFLUITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
226 SE DOUGLAS ST STE 205, LEES SUMMIT, MO 64063-2369
(816) 392-4561
Mailing address
405 NW SHAMROCK AVE, LEES SUMMIT, MO 64081-1620
(816) 392-4561
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2008019451
MO
235Z00000X
Speech-Language Pathologist
2966
KS
Other
Enumeration date
01/01/2011
Last updated
06/18/2012
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