MS. SANDRA DIANNE KEENEY MA CCC-SLP NPI 1003009762

Speech-Language Pathologist in Lake Ozark, MO

About SANDRA KEENEY

Sandra Keeney is a provider in Lake Ozark, MO. The NPI number assigned to this provider is 1003009762. The practitioner's primary taxonomy code is Speech-Language Pathologist (235Z00000X). The provider is registered as an individual and their NPI record was last updated 10 years ago.

NPI1003009762 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMS. SANDRA DIANNE KEENEY MA CCC-SLP
Provider Location Address31 CROWN POINT CT LAKE OZARK, MO 65049 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address255 CROWN POINT LAKE OZARK, MO 65049 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-24-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-24-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MS. SANDRA DIANNE KEENEY MA CCC-SLP
31 CROWN POINT CT
LAKE OZARK, MO
ZIP 65049
Phone: (573) 365-3495
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Mailing Address

MS. SANDRA DIANNE KEENEY MA CCC-SLP
255 CROWN POINT
LAKE OZARK, MO
ZIP 65049
Phone: (573) 365-3495

Primary Taxonomy

Taxonomy Code235Z00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationSpeech-Language Pathologist
TypeSpeech, Language and Hearing Service Providers
License No.00730
License StateMO
Taxonomy DescriptionThe speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Map Location


MS. SANDRA DIANNE KEENEY MA CCC-SLP address is 31 CROWN POINT CT LAKE OZARK, MO 65049