| Doctor Name: | MR. MARK G. HEPOLA |
| NPI Number: | 1265622211 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., CCC-SLP |
| License Number: | 01094422 |
| Business Practice Address: | 11800 W 49th Ave Wheat Ridge, CO - 800332176 |
| Business Phone Number: | 3034631382 |
| Business Fax Number: | |
| Mailing Address: | 7733 Forsyth Blvd Ste 2300, SAINT LOUIS |
| State: | MO |
| Postal Code: | 631051806 |
| Phone Number: | 1800677123 |
| Fax Number: | |
| NPI Enumeration Date: | 07/26/2007 |
| NPI Last Update Date: | 07/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 01094422 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |