Provider Demographics
NPI:1790826758
Name:EBERT, CARI DAWNE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CARI
Middle Name:DAWNE
Last Name:EBERT
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:688 SE BAYBERRY LN
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-4354
Mailing Address - Country:US
Mailing Address - Phone:816-525-4116
Mailing Address - Fax:816-525-4116
Practice Address - Street 1:688 SE BAYBERRY LN
Practice Address - Street 2:SUITE 102
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-4354
Practice Address - Country:US
Practice Address - Phone:816-525-4116
Practice Address - Fax:816-525-4116
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000169044235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist