Doctor Name: | MRS. MICHELLE M INGRAM |
NPI Number: | 1922382852 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC/SLP |
License Number: | |
Business Practice Address: | 141 N Meramec Ave Ste 110a Clayton, MO - 631053750 |
Business Phone Number: | 3142770441 |
Business Fax Number: | 3148637545 |
Mailing Address: | 141 N Meramec Ave, Ste 110a CLAYTON |
State: | MO |
Postal Code: | 631053750 |
Phone Number: | 3142770441 |
Fax Number: | 3148637545 |
NPI Enumeration Date: | 10/11/2011 |
NPI Last Update Date: | 10/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |