Provider Demographics
NPI:1831860865
Name:FREEMAN, ANDREW SCOTT (SLP)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:SCOTT
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 W WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:MO
Mailing Address - Zip Code:64012-4808
Mailing Address - Country:US
Mailing Address - Phone:816-489-7000
Mailing Address - Fax:
Practice Address - Street 1:110 W WALNUT ST
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:MO
Practice Address - Zip Code:64012-4808
Practice Address - Country:US
Practice Address - Phone:816-489-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-21
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021037252235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist