MEDICARE: SLP HEALING

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	:	1538036702
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLP HEALING

Provider Business Mailing Address
First Line	:	17710 STATE ROUTE M
Second Line	:
City	:	EDGAR SPRINGS
State	:	MO
Zip	:	65462-8305
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17710 STATE ROUTE M
Second Line	:
City	:	EDGAR SPRINGS
State	:	MO
Zip	:	65462-8305
Country	:	US
Telephone Number	:	785-341-4142
Fax Number	:

Authorized Official
Title or Position	:	SPEECH THERAPIST SLP
Name	:	JENNY JOHNSON
Credential	:	M.A., CCC-SLP
Telephone Number	:	785-341-4142

Provider Enumeration Date	:	10/21/2025
Last Update Date	:	10/21/2025

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Directions to “SLP HEALING ” Practice Location

Language	Start Address	Practice Location

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