Healthcare Provider Details

I. General information

NPI: 1528936481
Provider Name (Legal Business Name): PEYTON ELIZABETH DONLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1531 E BRADFORD PKWY
SPRINGFIELD MO
65804-6853
US

IV. Provider business mailing address

223 DONLEY DR
THORNFIELD MO
65762-6169
US

V. Phone/Fax

Practice location:
  • Phone: 417-881-9500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number2025041744
License Number StateMO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: