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

Tanner Jordan Staab

Individual provider Speech-Language Pathologist · NPI 1477177863

Tanner Jordan Staab is a Speech-Language Pathologist in Wichita, Kansas. Licensed in Kansas. Registered with an NPI since 2020.

Licensed in
KS
In the registry since
2020

Practice location Address checks out

3636 N Ridge Rd
Wichita, KS 67205-1213
Phone: (316) 462-3636
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 3572 (KS)

Record details

NPI number1477177863
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 2, 2020
Last updated in NPPESJune 18, 2020
Certification dateJune 18, 2020

Other providers in Wichita