Basic Information
| Provider Information | |||||||||
| NPI: | 1760816904 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | BEERY | ||||||||
| FirstName: | MAUREEN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6108 W 56TH ST | ||||||||
| Address2: | |||||||||
| City: | MISSION | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662022521 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5055778641 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7000 W 121ST ST STE 110 | ||||||||
| Address2: | |||||||||
| City: | LEAWOOD | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662092011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9139122174 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/23/2013 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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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 | 3737 | KS | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | 235Z00000X | N | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.