| Doctor Name: | MRS. ANDRIA HASLAG |
| NPI Number: | 1710364013 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. CF-SLP |
| License Number: | 2014020565 |
| Business Practice Address: | 1899 Highway 63 Westphalia, MO - 650852215 |
| Business Phone Number: | 5734552280 |
| Business Fax Number: | |
| Mailing Address: | 4627 Shepherd Hills Rd, Apt 504 JEFFERSON CITY |
| State: | MO |
| Postal Code: | 651019100 |
| Phone Number: | 5732912211 |
| Fax Number: | |
| NPI Enumeration Date: | 05/06/2015 |
| NPI Last Update Date: | 05/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2014020565 |
| 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 |