Provider Demographics
NPI:1437460573
Name:ARNETT, MARYA ANDRE' (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARYA
Middle Name:ANDRE'
Last Name:ARNETT
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 1:12834 LARSEN ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-3449
Mailing Address - Country:US
Mailing Address - Phone:913-549-4986
Mailing Address - Fax:
Practice Address - Street 1:12834 LARSEN ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-3449
Practice Address - Country:US
Practice Address - Phone:913-549-4986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS198235Z00000X
MO2007024394235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist