Provider Demographics
NPI:1457412827
Name:BROST, ALEAH CLAIRE (MHS, CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:ALEAH
Middle Name:CLAIRE
Last Name:BROST
Suffix:
Gender:F
Credentials:MHS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9100 E 74TH TER
Mailing Address - Street 2:
Mailing Address - City:RAYTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:64133-6435
Mailing Address - Country:US
Mailing Address - Phone:913-287-8851
Mailing Address - Fax:
Practice Address - Street 1:5520 COLLEGE BLVD STE 370
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1886
Practice Address - Country:US
Practice Address - Phone:913-696-8842
Practice Address - Fax:913-696-8855
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008012489235Z00000X
KS2823235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist