Nicole Leigh Hartrum, SLP Valid NPI
Individual provider · Speech-Language Pathologist · O Fallon, MO
- NPI
- 1013349364
- Type
- Individual (Type 1)
- Primary specialty
- Speech-Language Pathologist
- Specialty group
- Speech, Language and Hearing Service Providers
- Taxonomy code
- 235Z00000X
- License number
- 2013025905 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2013-08-08
- Last updated
- 2015-09-09
Practice location
110 Virgil St, Special Services
O Fallon, MO 63366-2637
(636) 240-2072