Individual
MISS KELSEY ERIN HEISSERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CF-SLP
Contact information
Practice address
8970 MEXICO RD, O FALLON, MO 63366-7505
(636) 980-1800
Mailing address
430 SHERWOOD OAKS CT, WENTZVILLE, MO 63385-3739
(636) 357-5784
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2018034188
MO
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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