Provider Demographics
NPI:1285254540
Name:WHITELEY, MOLLY ANN (AUD)
Entity type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:ANN
Last Name:WHITELEY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:ANN
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1133 COLLEGE AVE STE A101
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-2795
Mailing Address - Country:US
Mailing Address - Phone:785-539-7361
Mailing Address - Fax:
Practice Address - Street 1:1133 COLLEGE AVE STE A101
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-2795
Practice Address - Country:US
Practice Address - Phone:785-539-7361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-16
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2017231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist