Provider Demographics
NPI:1831991603
Name:SLP FUSION
Entity type:Organization
Organization Name:SLP FUSION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:KUSNIERZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-522-3978
Mailing Address - Street 1:1601 S PROVIDENCE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65211-3598
Mailing Address - Country:US
Mailing Address - Phone:816-522-3978
Mailing Address - Fax:
Practice Address - Street 1:1601 S PROVIDENCE RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65211-3598
Practice Address - Country:US
Practice Address - Phone:816-522-3978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AERODIGESTIVE HEALTH CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty