Vicki M Shoemaker Valid NPI
Individual provider · Speech-Language Pathologist · O Fallon, MO
- NPI
- 1841570355
- Type
- Individual (Type 1)
- Primary specialty
- Speech-Language Pathologist
- Specialty group
- Speech, Language and Hearing Service Providers
- Taxonomy code
- 235Z00000X
- License number
- 103419 (MO)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2011-08-29
- Last updated
- 2011-08-29
Practice location
1230 Tom Ginnever Ave
O Fallon, MO 63366-4406
(636) 240-2072