Kristin D Bagby, MS Valid NPI
Individual provider · Speech-Language Pathologist · O Fallon, MO
- NPI
- 1730465329
- Type
- Individual (Type 1)
- Primary specialty
- Speech-Language Pathologist
- Specialty group
- Speech, Language and Hearing Service Providers
- Taxonomy code
- 235Z00000X
- License number
- 2011032194 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2011-10-26
- Last updated
- 2011-10-26
Practice location
2120 Bryan Valley Commercial Dr
O Fallon, MO 63366-3495
(314) 774-1859