Individual provider · Type 1 NPI
Mary Katherine Mazzola
Speech-Language Assistant · St. Louis, MO
NPI number
1750151791
Active
Practice location
7432 Marillac Dr
St. Louis, MO 63121-4744
Fax (314) 689-0211
Mailing address
221 Montrose Ct
O Fallon, MO 63368-7726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | 2023034141 (MO) |
Speech-Language Assistant: Definition to come...
3 other providers at this address
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About NPI 1750151791
Mary Katherine Mazzola's National Provider Identifier is 1750151791, issued on Jan 2, 2024. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in St. Louis, MO. The record was last updated on Jan 2, 2024.