Provider Demographics
NPI:1225460348
Name:BUESSING, ERIKA L (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:L
Last Name:BUESSING
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 24TH RD
Mailing Address - Street 2:
Mailing Address - City:BEATTIE
Mailing Address - State:KS
Mailing Address - Zip Code:66406-8931
Mailing Address - Country:US
Mailing Address - Phone:785-353-2274
Mailing Address - Fax:785-353-2275
Practice Address - Street 1:815 24TH RD
Practice Address - Street 2:
Practice Address - City:BEATTIE
Practice Address - State:KS
Practice Address - Zip Code:66406-8931
Practice Address - Country:US
Practice Address - Phone:785-353-2274
Practice Address - Fax:785-353-2275
Is Sole Proprietor?:No
Enumeration Date:2013-07-31
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS12067594235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist