Individual
MS. SARAH LEE BANNISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCCSLP
Contact information
Practice address
521 N TENNESSEE ST, IOLA, KS 66749-2629
(620) 380-1561
Mailing address
521 N TENNESSEE ST, IOLA, KS 66749-2629
(620) 380-1561
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
508
KS
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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