Marie Moder

Speech-Language Pathologist · O Fallon, MO

Individual Active NPI

NPI number 1497971295

Practice location

9233 Highway DD
O Fallon, MO 63368-6515
Phone
(636) 625-1026
Fax
(636) 625-1094

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NPI record

NPI
1497971295
Entity type
Individual (Type 1)
Enumeration date
April 18, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 19416 MO

Mailing address

1 Campus Dr
Wentzville, MO 63385-3415
Phone
(636) 327-3800
Fax
(636) 327-8611

About Marie Moder

Marie Moder is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 9233 Highway DD, O Fallon, MO 63368-6515. The NPI number 1497971295 was assigned on April 18, 2007 and the record was last updated on July 8, 2007.

Marie Moder lists a license in the registry: #19416 (MO) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Marie Moder?

The NPI number is 1497971295.

What is the phone number of Marie Moder?

The phone number listed for the practice location is (636) 625-1026.

Where is Marie Moder located?

9233 Highway DD, O Fallon, MO 63368-6515.

What is the taxonomy code for Marie Moder?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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