| Doctor Name: | CAROLYN WIEGERS |
| NPI Number: | 1417093030 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. CF-SLP |
| License Number: | 2006021619 |
| Business Practice Address: | 2025 Hanley Rd Dardenne Prairie, MO - 633686734 |
| Business Phone Number: | 6369262700 |
| Business Fax Number: | 6364474919 |
| Mailing Address: | 4140 Old Mill Pkwy, SAINT PETERS |
| State: | MO |
| Postal Code: | 633766550 |
| Phone Number: | 6369262700 |
| Fax Number: | 6364474919 |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2006021619 |
| 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 |