Provider Demographics
NPI:1720150147
Name:SNORGRASS, CHERYL J
Entity Type:Individual
Prefix:MR
First Name:CHERYL
Middle Name:J
Last Name:SNORGRASS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 BARBER AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66106-2984
Mailing Address - Country:US
Mailing Address - Phone:913-789-7757
Mailing Address - Fax:913-789-7009
Practice Address - Street 1:1211 MCGEE ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64106-2416
Practice Address - Country:US
Practice Address - Phone:816-418-7840
Practice Address - Fax:816-418-7006
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO#01247235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist