Individual
COURTNEY HAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2555 HACKMANN RD, SAINT CHARLES, MO 63303-5452
(636) 851-4000
Mailing address
4968 ITASKA ST, SAINT LOUIS, MO 63109-2911
(513) 461-9090
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2020015752
MO
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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