Doctor Name: | JULIE CHERRADI |
NPI Number: | 1497008783 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | 2002001999 |
Business Practice Address: | 16216 Baxter Rd Suite 140 Chesterfield, MO - 630174770 |
Business Phone Number: | 3144545420 |
Business Fax Number: | 3144545425 |
Mailing Address: | 16216 Baxter Rd, Suite 140 CHESTERFIELD |
State: | MO |
Postal Code: | 630174770 |
Phone Number: | 3144545420 |
Fax Number: | 3144545425 |
NPI Enumeration Date: | 10/24/2012 |
NPI Last Update Date: | 10/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2002001999 |
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 |