Individual
MRS. TANYA ANNETTE MYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
1211 MCGEE ST, ROOM 905-B, KANSAS CITY, MO 64106-2416
(816) 418-7840
(816) 418-1807
Mailing address
1211 MCGEE ST, ROOM 905-B, KANSAS CITY, MO 64106-2416
(816) 418-7840
(816) 418-1807
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
111765
MO
235Z00000X
Speech-Language Pathologist
111765
MO
Other
Enumeration date
06/08/2007
Last updated
11/09/2016
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