Healthcare Provider Details

I. General information

NPI: 1134644693
Provider Name (Legal Business Name): ANGELA STREKER BS, SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2017
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 NW 1ST ST
BLUE SPRINGS MO
64014-1328
US

IV. Provider business mailing address

10114 MILTON THOMPSON RD
LEES SUMMIT MO
64086-9347
US

V. Phone/Fax

Practice location:
  • Phone: 816-874-3470
  • Fax:
Mailing address:
  • Phone: 435-773-8625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number2017030883
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: