MEDICARE: MRS. SARAH ELIZABETH BRAY M.S., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	2015015061	MO
2	235Z00000X	Speech-Language Pathologist	3333	KS

General Provider Information

NPI Number	:	1114491339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH ELIZABETH BRAY M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	9043 N LAWN AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64156-6327
Country	:	US
Telephone Number	:	402-617-8811
Fax Number	:

Provider Business Practice Location Address
First Line	:	9043 N LAWN AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64156-6327
Country	:	US
Telephone Number	:	402-617-8811
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2019
Last Update Date	:	01/22/2019

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Directions to “ MRS. SARAH ELIZABETH BRAY M.S., CCC-SLP” Practice Location

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