Provider Demographics
NPI:1972630846
Name:CUENDET-TAYLOR, LEE LOUISE (MSCCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LEE
Middle Name:LOUISE
Last Name:CUENDET-TAYLOR
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 2 BOX 65
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:MO
Mailing Address - Zip Code:64730-9508
Mailing Address - Country:US
Mailing Address - Phone:660-227-9124
Mailing Address - Fax:660-679-6955
Practice Address - Street 1:RR 2 BOX 65
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:MO
Practice Address - Zip Code:64730-9508
Practice Address - Country:US
Practice Address - Phone:660-227-9124
Practice Address - Fax:660-679-6955
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001014454235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist