MEDICARE: MAUREEN ELIZABETH LOPEZ 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
2	235Z00000X	Speech-Language Pathologist		TX

General Provider Information

NPI Number	:	1710442116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN ELIZABETH LOPEZ M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	335 S LA FRENZ RD
Second Line	:
City	:	LIBERTY
State	:	MO
Zip	:	64068-7944
Country	:	US
Telephone Number	:	816-508-7419
Fax Number	:

Provider Business Practice Location Address
First Line	:	2575 NE BARRY RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64155-2836
Country	:	US
Telephone Number	:	816-508-7419
Fax Number	:

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

Provider Enumeration Date	:	02/10/2019
Last Update Date	:	12/19/2025

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Directions to “ MAUREEN ELIZABETH LOPEZ M.S., CCC-SLP” Practice Location

Language	Start Address	Practice Location

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