Healthcare Provider Details

I. General information

NPI: 1609710391
Provider Name (Legal Business Name): BECKY LEE
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 E 18TH ST
KANSAS CITY MO
64127-2602
US

IV. Provider business mailing address

2700 E 18TH ST
KANSAS CITY MO
64127-2602
US

V. Phone/Fax

Practice location:
  • Phone: 816-241-3994
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2025053199
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: