Doctor Name: | HOLLY KEA-HOUSE |
NPI Number: | 1588946933 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 115646 |
Business Practice Address: | 141 Weiss Rd Saint Peters, MO - 633767741 |
Business Phone Number: | 6368515942 |
Business Fax Number: | |
Mailing Address: | 4545 Central School Rd, SAINT CHARLES |
State: | MO |
Postal Code: | 633047113 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/12/2011 |
NPI Last Update Date: | 09/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 115646 |
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 |