Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Phyllis Correll, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1154118123

Phyllis Correll, CCC-SLP is a Speech-Language Pathologist in Leavenworth, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2025
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

721 Metropolitan Ave Ste C
Leavenworth, KS 66048-1403
Phone: (913) 362-7518
Fax: (913) 675-7093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 5566 (KS)

Record details

NPI number1154118123
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedApril 23, 2025
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025
Mailing address24462 227th St, Leavenworth, KS 66048-7138

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