Doctor Name: | MRS. RENEE HEDGES |
NPI Number: | 1083959381 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC/SLP |
License Number: | 119618 |
Business Practice Address: | 122 Smith Dr Ballwin, MO - 630113020 |
Business Phone Number: | 3144204018 |
Business Fax Number: | |
Mailing Address: | 122 Smith Dr, BALLWIN |
State: | MO |
Postal Code: | 630113020 |
Phone Number: | 3144204018 |
Fax Number: | |
NPI Enumeration Date: | 11/28/2012 |
NPI Last Update Date: | 11/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 119618 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |