Provider Demographics
NPI:1851960314
Name:LAWLER, REGAN KATHLEEN
Entity Type:Individual
Prefix:
First Name:REGAN
Middle Name:KATHLEEN
Last Name:LAWLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 NE 67TH ST
Mailing Address - Street 2:
Mailing Address - City:GLADSTONE
Mailing Address - State:MO
Mailing Address - Zip Code:64118-3411
Mailing Address - Country:US
Mailing Address - Phone:816-876-5330
Mailing Address - Fax:
Practice Address - Street 1:6910 N HOLMES ST STE 200
Practice Address - Street 2:
Practice Address - City:GLADSTONE
Practice Address - State:MO
Practice Address - Zip Code:64118-2666
Practice Address - Country:US
Practice Address - Phone:816-804-3026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-20
Last Update Date:2021-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist