Provider Demographics
NPI:1295532273
Name:HEBENSPERGER, ELAINE
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:
Last Name:HEBENSPERGER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 SE 140TH RD
Mailing Address - Street 2:
Mailing Address - City:WARRENSBURG
Mailing Address - State:MO
Mailing Address - Zip Code:64093-7722
Mailing Address - Country:US
Mailing Address - Phone:660-580-0079
Mailing Address - Fax:
Practice Address - Street 1:92 NW STATE ROUTE 58
Practice Address - Street 2:
Practice Address - City:CENTERVIEW
Practice Address - State:MO
Practice Address - Zip Code:64019-9267
Practice Address - Country:US
Practice Address - Phone:660-656-3316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20240359192355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant