MEDICARE: JOHN ALLARD 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	2019021607	MO

General Provider Information

NPI Number	:	1265059562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN ALLARD SLP

Provider Business Mailing Address
First Line	:	3795 W 95TH ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66206-2036
Country	:	US
Telephone Number	:	913-286-0422
Fax Number	:	844-380-0832

Provider Business Practice Location Address
First Line	:	3795 W 95TH ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66206-2036
Country	:	US
Telephone Number	:	913-286-0422
Fax Number	:	844-380-0832

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

Provider Enumeration Date	:	07/02/2020
Last Update Date	:	07/02/2020

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Directions to “ JOHN ALLARD SLP” Practice Location

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