Tara Mckay Powers Valid NPI
Individual provider · Speech-Language Pathologist · O Fallon, IL
- NPI
- 1124476957
- Type
- Individual (Type 1)
- Primary specialty
- Speech-Language Pathologist
- Specialty group
- Speech, Language and Hearing Service Providers
- Taxonomy code
- 235Z00000X
- License number
- 146012948 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2016-06-02
- Last updated
- 2022-11-04
Practice location
1022 E Wesley Dr
O Fallon, IL 62269-6136
(618) 607-5081