| Southeast Kansas Speech Pathology Services, Llc | |
|
1800 E 4th St, Suite B, Pittsburg, KS 66762-8573 | |
| (620) 232-2990 | |
| (620) 232-2844 |
| Full Name | Southeast Kansas Speech Pathology Services, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 1800 E 4th St, Pittsburg, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487932760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2237 (Kansas) | Primary |
| Provider Name | Gentry A White |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033307459 PECOS PAC ID: 9537335559 Enrollment ID: I20111221000815 |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Kansas Speech Pathology Services, Llc 1127 E 570th Ave, Pittsburg, KS 66762-8550 Ph: (620) 232-2990 | Southeast Kansas Speech Pathology Services, Llc 1800 E 4th St, Suite B, Pittsburg, KS 66762-8573 Ph: (620) 232-2990 |
Mrs. Gentry A. White, M.A. CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1127 E 570th Ave, Pittsburg, KS 66762 Phone: 620-232-2990 Fax: 620-232-2844 | |
Glendolyn Neely, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1502 E Centennial Dr, Pittsburg, KS 66762 Phone: 620-212-1753 | |
Sandra Mcardle, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1502 E Centennial Dr, Pittsburg, KS 66762 Phone: 620-235-0020 | |
Meena Agarwal, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1011 Ohio St, Apt A, Pittsburg, KS 66762 Phone: 620-704-5829 | |
Jeremy Griffy, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2701 S Springdale St Apt 310, Pittsburg, KS 66762 Phone: 931-801-5604 | |
Sean Gilmore, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1502 E Centennial Dr, Pittsburg, KS 66762 Phone: 620-235-0020 |