Provider Demographics
NPI:1699184754
Name:SPEED, JOANNE (LCMFT)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:SPEED
Suffix:
Gender:F
Credentials:LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10103 W 60TH TER
Mailing Address - Street 2:
Mailing Address - City:MERRIAM
Mailing Address - State:KS
Mailing Address - Zip Code:66203-3045
Mailing Address - Country:US
Mailing Address - Phone:816-508-7843
Mailing Address - Fax:
Practice Address - Street 1:10103 W 60TH TER
Practice Address - Street 2:
Practice Address - City:MERRIAM
Practice Address - State:KS
Practice Address - Zip Code:66203-3045
Practice Address - Country:US
Practice Address - Phone:816-508-7843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-03
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2574106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist