Provider Demographics
NPI:1184816928
Name:BEMIS, ANNE J (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:J
Last Name:BEMIS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 PARK STREET
Mailing Address - Street 2:ALBERTSON HALL 103D
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601
Mailing Address - Country:US
Mailing Address - Phone:785-628-5260
Mailing Address - Fax:
Practice Address - Street 1:600 PARK STREET
Practice Address - Street 2:ALBERTSON HALL 103D
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601
Practice Address - Country:US
Practice Address - Phone:785-628-5260
Practice Address - Fax:785-628-5271
Is Sole Proprietor?:No
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2661235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist