Individual provider · Type 1 NPI

Mary Kiesel

Speech-Language Pathologist · St. Louis, MO

NPI number 1770086829 Active

Practice location

12110 Clayton Rd
St. Louis, MO 63131-2516

Mailing address

405 Iron Lantern Dr
Ballwin, MO 63011-2723

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X184658 (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 1770086829

Mary Kiesel's National Provider Identifier is 1770086829, issued on Mar 15, 2018. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in St. Louis, MO. The record was last updated on Mar 15, 2018.