Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KHETLHAMANY ERIKA BANNAVONG, M.A., CCC-SLP
ActiveKHETLHAMANY ERIKA BANNAVONG, M.A., CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in WEST LIBERTY, Iowa. NPI 1245945567 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · WEST LIBERTY, IA
Registration Details
- NPI Number
- 1245945567
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 20, 2023 (3.5240489279002 yrs)
- Last Updated
- Feb 17, 2025
- Licenses
-
114797 (IA)SL018239 (PA)
Practice Information
- Address
-
1253 ELDER RIDGE RDWEST LIBERTY, IA, 527769161Browse IA providers · Browse ZIP 52776
- Phone
- 1954177853
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
- Additional Specialty
- Speech, Language and Hearing Specialist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.