Provider Demographics
NPI:1952756405
Name:VIGNERY, SARAH C (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:C
Last Name:VIGNERY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 NE RALPH POWELL RD., SUITE E
Mailing Address - Street 2:
Mailing Address - City:LEE'S SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064
Mailing Address - Country:US
Mailing Address - Phone:816-228-8393
Mailing Address - Fax:816-293-9192
Practice Address - Street 1:3600 NE RALPH POWELL RD. SUITE E
Practice Address - Street 2:
Practice Address - City:LEE'S SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064
Practice Address - Country:US
Practice Address - Phone:816-228-8393
Practice Address - Fax:816-293-9192
Is Sole Proprietor?:No
Enumeration Date:2016-05-03
Last Update Date:2018-05-15
Deactivation Date:2018-04-19
Deactivation Code:
Reactivation Date:2018-05-09
Provider Licenses
StateLicense IDTaxonomies
MO2016011898235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist