Healthcare Provider Details

I. General information

NPI: 1053236141
Provider Name (Legal Business Name): HANNAH BARRY CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 CLAY EDWARDS DR
KANSAS CITY MO
64116-3220
US

IV. Provider business mailing address

526 WESTONRIDGE CT
WILDWOOD MO
63021-2028
US

V. Phone/Fax

Practice location:
  • Phone: 816-691-2000
  • Fax:
Mailing address:
  • Phone: 314-287-9787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2024031905
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: