Individual
MRS. PAULA CHRISTINE RENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 VIRGIL ST, FT ZUMWALT R-II, O FALLON, MO 63366-2637
(636) 272-1059
(636) 980-1946
Mailing address
110 VIRGIL ST, O FALLON, MO 63366-2637
(636) 272-1059
(636) 980-1946
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
113028
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
463499715
—
MO
Enumeration date
03/08/2007
Last updated
02/19/2009
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