Provider Demographics
NPI:1417723495
Name:ENLOW, SUMMER ALAINA
Entity Type:Individual
Prefix:
First Name:SUMMER
Middle Name:ALAINA
Last Name:ENLOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22808 E HIGHWAY 86
Mailing Address - Street 2:
Mailing Address - City:GRANBY
Mailing Address - State:MO
Mailing Address - Zip Code:64844-7416
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:22808 E HIGHWAY 86
Practice Address - Street 2:
Practice Address - City:GRANBY
Practice Address - State:MO
Practice Address - Zip Code:64844-7416
Practice Address - Country:US
Practice Address - Phone:417-472-6231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant