MEDICARE: WHISPERING WILLOW SPEECH THERAPY

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

General Provider Information

NPI Number	:	1417619719
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHISPERING WILLOW SPEECH THERAPY

Provider Business Mailing Address
First Line	:	423 N FRANKLIN ST
Second Line	:
City	:	FORT SCOTT
State	:	KS
Zip	:	66701-1766
Country	:	US
Telephone Number	:	918-384-8835
Fax Number	:	620-390-3262

Provider Business Practice Location Address
First Line	:	5 E WALL ST
Second Line	:
City	:	FORT SCOTT
State	:	KS
Zip	:	66701-1422
Country	:	US
Telephone Number	:	918-384-8835
Fax Number	:	620-390-3262

Authorized Official
Title or Position	:	SPEECH- LANGUAGE PATHOLOGIST
Name	:	MICKY JO BROWN
Credential	:	MS, CCC-SLP
Telephone Number	:	918-384-8835

Provider Enumeration Date	:	10/13/2021
Last Update Date	:	03/20/2023

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Directions to “WHISPERING WILLOW SPEECH THERAPY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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