Provider Demographics
NPI:1134644693
Name:STREKER, ANGELA (BS, SLPA)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:STREKER
Suffix:
Gender:F
Credentials:BS, SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10114 MILTON THOMPSON RD
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-9347
Mailing Address - Country:US
Mailing Address - Phone:435-773-8625
Mailing Address - Fax:
Practice Address - Street 1:900 S FOX RIDGE DR
Practice Address - Street 2:
Practice Address - City:RAYMORE
Practice Address - State:MO
Practice Address - Zip Code:64083-8257
Practice Address - Country:US
Practice Address - Phone:816-892-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-07
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20170308832355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty