Individual
CARRIE A. KOEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
801 N 11TH ST, MEDICAID DEPARTMENT, SAINT LOUIS, MO 63101-1015
(314) 352-4343
Mailing address
9317 BUXTON DR, SAINT LOUIS, MO 63126-2613
(314) 729-7542
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MO
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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