Healthcare Provider Details

I. General information

NPI: 1710052972
Provider Name (Legal Business Name): MELISSA ANN BARHORST MS CCC SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8835 MONROVIA
LENEXA KS
66215
US

IV. Provider business mailing address

8835 MONROVIA
LENEXA KS
66215
US

V. Phone/Fax

Practice location:
  • Phone: 913-383-3535
  • Fax: 913-383-0320
Mailing address:
  • Phone: 913-383-3535
  • Fax: 913-383-0320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2646
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: