MEDICARE: MRS. EMILY STEELE MCDONOUGH M.A., 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	3835	KS

General Provider Information

NPI Number	:	1992313910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EMILY STEELE MCDONOUGH M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	352 E CHEYENNE CT
Second Line	:
City	:	KECHI
State	:	KS
Zip	:	67067-8629
Country	:	US
Telephone Number	:	913-396-1711
Fax Number	:

Provider Business Practice Location Address
First Line	:	352 E CHEYENNE CT
Second Line	:
City	:	KECHI
State	:	KS
Zip	:	67067-8629
Country	:	US
Telephone Number	:	913-396-1711
Fax Number	:

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

Provider Enumeration Date	:	07/15/2020
Last Update Date	:	07/15/2020

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Directions to “ MRS. EMILY STEELE MCDONOUGH M.A., CCC-SLP” Practice Location

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