Individual
TARA WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, CCC-SLP
Contact information
Practice address
116 LAMPLIGHTER WAY, O FALLON, MO 63368-7323
(636) 352-6235
Mailing address
116 LAMPLIGHTER WAY, O FALLON, MO 63368-7323
(636) 352-6235
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2919021604
MO
Other
Enumeration date
04/20/2021
Last updated
12/10/2022
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