Provider Demographics
NPI:1467643411
Name:ALLEE, MARTY SUZANNE (MA)
Entity Type:Individual
Prefix:MS
First Name:MARTY
Middle Name:SUZANNE
Last Name:ALLEE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:MARTY
Other - Middle Name:SUZANNE
Other - Last Name:FORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:9816 W 115TH TER
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-3625
Mailing Address - Country:US
Mailing Address - Phone:913-663-3119
Mailing Address - Fax:
Practice Address - Street 1:9816 W 115TH TER
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-3625
Practice Address - Country:US
Practice Address - Phone:913-663-3119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS837235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist