Healthcare Provider Details

I. General information

NPI: 1376237529
Provider Name (Legal Business Name): MAGGIE EPP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2023
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3715 W 133RD ST
LEAWOOD KS
66209-3347
US

IV. Provider business mailing address

13600 ANTIOCH RD APT 1309
OVERLAND PARK KS
66221-1207
US

V. Phone/Fax

Practice location:
  • Phone: 913-213-3531
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number4237
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: