Individual provider · Type 1 NPI

Marie Moder

Speech-Language Pathologist · O Fallon, MO

NPI number 1497971295 Active

Practice location

9233 Highway Dd
O Fallon, MO 63368-6515

Fax (636) 625-1094

Mailing address

1 Campus Dr
Wentzville, MO 63385-3415

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X19416 (MO)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1497971295

Marie Moder's National Provider Identifier is 1497971295, issued on Apr 18, 2007. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in O Fallon, MO. The record was last updated on Jul 8, 2007.