Healthcare Provider Details

I. General information

NPI: 1720732167
Provider Name (Legal Business Name): LAURA M FRYE HELP4DYSLEXIAKC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2022
Last Update Date: 02/04/2022
Certification Date: 01/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3321 SW KESSLER DR
LEES SUMMIT MO
64081-2268
US

IV. Provider business mailing address

3321 SW KESSLER DR UNIT 7207
LEES SUMMIT MO
64081-2281
US

V. Phone/Fax

Practice location:
  • Phone: 816-838-5833
  • Fax:
Mailing address:
  • Phone: 816-838-5833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAURA MARIE FRYE
Title or Position: OWNER
Credential: SLP
Phone: 816-838-5833