Doctor Name: | MRS. KELLI MARIE CONNOR |
NPI Number: | 1619147758 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 112641 |
Business Practice Address: | 504 Liberty Crossing Ct Saint Peters, MO - 633764448 |
Business Phone Number: | 6369283075 |
Business Fax Number: | |
Mailing Address: | 504 Liberty Crossing Ct, SAINT PETERS |
State: | MO |
Postal Code: | 633764448 |
Phone Number: | 6369283075 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2008 |
NPI Last Update Date: | 03/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 112641 |
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 |