Provider Demographics
NPI:1720730930
Name:DILL, FAITH (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:
Last Name:DILL
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:FAITH
Other - Middle Name:
Other - Last Name:LOEPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15706 W 124TH TER
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-4996
Mailing Address - Country:US
Mailing Address - Phone:913-449-4603
Mailing Address - Fax:
Practice Address - Street 1:15706 W 124TH TER
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-4996
Practice Address - Country:US
Practice Address - Phone:913-449-4603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist