Dedrick, Marsha Lee

Dedrick, Marsha Lee is an individual health care provider with primary practice located at 2101 N Twyman Rd Fort Osage R-I School District, Independence MO 64058-3200. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Dedrick, Marsha Lee can be contacted via phone (816) 650-7371.

Contact Information

Primary practice address
2101 N Twyman Rd Fort Osage R-I School District Independence MO 64058-3200
Fax: (816) 650-7355
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 01420 Missouri

Profile Details

NPI number 1801928221
LBN Legal business name Dedrick, Marsha Lee
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Feb 19th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801928221 NPPES
Missouri MEDICAID 466727427

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