MEDICARE: STEPHANIE MARSH WILLIAMS MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	2019026932	MO

General Provider Information

NPI Number	:	1245885599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE MARSH WILLIAMS MS

Provider Business Mailing Address
First Line	:	PO BOX 3125
Second Line	:
City	:	SHAWNEE
State	:	KS
Zip	:	66203-0125
Country	:	US
Telephone Number	:	801-560-9164
Fax Number	:

Provider Business Practice Location Address
First Line	:	14500 E 42ND ST S STE 220
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64055-4700
Country	:	US
Telephone Number	:	816-478-7800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2019
Last Update Date	:	08/05/2019

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Directions to “ STEPHANIE MARSH WILLIAMS MS” Practice Location

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