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NPI Code Detail

MEDICARE: MORGAN BOUTTE M.S., CCC-SLP

MEDICARE: MORGAN BOUTTE 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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1225764129
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN BOUTTE M.S., CCC-SLP
Provider Business Mailing Address
First Line : 8732 W 70TH ST
Second Line :
City : MERRIAM
State : KS
Zip : 66204-1106
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 519 AVENIDA CESAR E CHAVEZ
Second Line :
City : KANSAS CITY
State : MO
Zip : 64108-2133
Country : US
Telephone Number : 888-913-1910
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2022
Last Update Date : 10/09/2024

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Directions to “ MORGAN BOUTTE M.S., CCC-SLP” Practice Location

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