Individual
MISS MARY STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC SLP
Contact information
Practice address
13418 SANTA FE TRAIL DR, LENEXA, KS 66215-3655
(913) 689-8272
Mailing address
16685 S LIND RD, OLATHE, KS 66062-7870
(816) 785-7821
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2011003504
MO
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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