Basic Information
| Provider Information | |||||||||
| NPI: | 1407036205 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MILLARD-HARSCHE | ||||||||
| FirstName: | ANNE | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | MA/CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 20830 S SKYVIEW LN | ||||||||
| Address2: | |||||||||
| City: | SPRING HILL | ||||||||
| State: | KS | ||||||||
| PostalCode: | 660837558 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9136865282 | ||||||||
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| Practice Location | |||||||||
| Address1: | 10300 W 103RD ST STE 300 | ||||||||
| Address2: | |||||||||
| City: | OVERLAND PARK | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662142658 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9138941910 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/08/2007 | ||||||||
| LastUpdateDate: | 11/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 2007005974 | MO | N | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | 235Z00000X | 2463 | KS | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
ID Information
| ID | Type | State | Issuer | Description | 2463 | 01 | KS | STATE LICENSE | OTHER | 2007005974 | 01 | MO | STATE LICENSE | OTHER |