Provider Demographics
NPI:1154454486
Name:BILLINGS, MARY A (MS,CCC)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:A
Last Name:BILLINGS
Suffix:
Gender:F
Credentials:MS,CCC
Other - Prefix:MS
Other - First Name:MARY
Other - Middle Name:SWIFT
Other - Last Name:BILLINGS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS,CCC
Mailing Address - Street 1:320 NW WOODS CHAPEL RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015-3282
Mailing Address - Country:US
Mailing Address - Phone:816-228-8393
Mailing Address - Fax:816-228-8393
Practice Address - Street 1:320 NW WOODS CHAPEL RD
Practice Address - Street 2:SUITE C
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64015-3282
Practice Address - Country:US
Practice Address - Phone:816-228-8393
Practice Address - Fax:816-228-8393
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO01226235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO343160Medicaid
MO25477OtherCOVENTRY HC OF KANSAS
MO15472015OtherBCBS