Provider Demographics
NPI:1295906949
Name:LOVELAND, KERRI LEE (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KERRI
Middle Name:LEE
Last Name:LOVELAND
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6220 MEADOWVIEW DR
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-7252
Mailing Address - Country:US
Mailing Address - Phone:417-886-4505
Mailing Address - Fax:
Practice Address - Street 1:203 AZALEA
Practice Address - Street 2:
Practice Address - City:DUENWEG
Practice Address - State:MO
Practice Address - Zip Code:64841
Practice Address - Country:US
Practice Address - Phone:417-782-0994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-20
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO111497235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist