Provider Demographics
NPI:1821347956
Name:DRAWDY, ROXIE NICOLE (MS SLP)
Entity Type:Individual
Prefix:MRS
First Name:ROXIE
Middle Name:NICOLE
Last Name:DRAWDY
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1698 N PRAIRIE RUN CIR
Mailing Address - Street 2:
Mailing Address - City:MULVANE
Mailing Address - State:KS
Mailing Address - Zip Code:67110-1121
Mailing Address - Country:US
Mailing Address - Phone:620-330-0470
Mailing Address - Fax:
Practice Address - Street 1:1626 N 8TH ST
Practice Address - Street 2:
Practice Address - City:NEODESHA
Practice Address - State:KS
Practice Address - Zip Code:66757-1239
Practice Address - Country:US
Practice Address - Phone:620-325-3088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2837235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist