Marie Moder Valid NPI
Individual provider · Speech-Language Pathologist · O Fallon, MO
- NPI
- 1497971295
- Type
- Individual (Type 1)
- Primary specialty
- Speech-Language Pathologist
- Specialty group
- Speech, Language and Hearing Service Providers
- Taxonomy code
- 235Z00000X
- License number
- 19416 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-04-18
- Last updated
- 2007-07-08
Practice location
9233 Highway Dd
O Fallon, MO 63368-6515
(636) 625-1026