| Doctor Name: | MS. VICTORIA LYNN CARLSON-CASAREGOLA |
| NPI Number: | 1740505106 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, CCC-SLP |
| License Number: | 2008025529 |
| Business Practice Address: | 1809 Clarkson Rd St. Joseph Institute For The Deaf Chesterfield, MO - 630175065 |
| Business Phone Number: | 6365323211 |
| Business Fax Number: | 6365324560 |
| Mailing Address: | 1809 Clarkson Rd, St. Joseph Institute For The Deaf CHESTERFIELD |
| State: | MO |
| Postal Code: | 630175065 |
| Phone Number: | 6365323211 |
| Fax Number: | 6365324560 |
| NPI Enumeration Date: | 03/29/2010 |
| NPI Last Update Date: | 03/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2008025529 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |