Provider Demographics
NPI:1861556532
Name:STRODER, HEATHER OLINDA (MS SLP)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:OLINDA
Last Name:STRODER
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:MS
Other - First Name:HEATHER
Other - Middle Name:OLINDA
Other - Last Name:KELLY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7620 METCALF AVENUE
Mailing Address - Street 2:SUITE M
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2996
Mailing Address - Country:US
Mailing Address - Phone:913-383-9014
Mailing Address - Fax:913-383-9015
Practice Address - Street 1:7620 METCALF AVENUE
Practice Address - Street 2:SUITE M
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-2996
Practice Address - Country:US
Practice Address - Phone:913-383-9014
Practice Address - Fax:913-383-9015
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSTSLP2426235Z00000X
MO2006032148235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist