Doctor Name: | TRICIA ANN KAELIN |
NPI Number: | 1427229533 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 2007037088 |
Business Practice Address: | 10560 Old Olive Street Rd Suite 100 Creve Coeur, MO - 631415916 |
Business Phone Number: | 3145674707 |
Business Fax Number: | 3145674505 |
Mailing Address: | 424 Parkgate Dr, O FALLON |
State: | MO |
Postal Code: | 633674379 |
Phone Number: | 7572685803 |
Fax Number: | 3145674505 |
NPI Enumeration Date: | 03/17/2008 |
NPI Last Update Date: | 03/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2007037088 |
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 |