Doctor Name: | MRS. ALIECE NICOLE BARKLAGE |
NPI Number: | 1285912287 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 2010008193 |
Business Practice Address: | 200 Thompson Dr Troy, MO - 633792308 |
Business Phone Number: | 6365288446 |
Business Fax Number: | |
Mailing Address: | 411 Wild Oak Dr, OFALLON |
State: | MO |
Postal Code: | 63368 |
Phone Number: | 4172342919 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2011 |
NPI Last Update Date: | 07/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2010008193 |
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 |