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Carly Rose Copenhaver, CFY-SLP

Speech-Language Pathologist, in Lees Summit, MO. Individual provider (NPI-1).

NPI number1760109581
StatusActive
Last updated in NPPESOct 24, 2022

Details

NPI
1760109581
Entity type
Individual (NPI-1)
Name
Carly Rose Copenhaver
Credential
CFY-SLP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 24, 2022
Certification date
Oct 21, 2022
Last updated
Oct 24, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,2022036894MOYes

Practice location

27600 E Colbern Rd
Lees Summit, MO 64086-8424

Phone 816-986-2330

Mailing address

3602 Ne Akin Dr Unit B
Lees Summit, MO 64064-3505

Other practice locations

200 Nw Ward Rd
Lees Summit, MO 64063-1849

Phone 816-986-1350

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