Individual
CONNER TIEARRA HURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, SLP-CF
Contact information
Practice address
11960 WESTLINE INDUSTRIAL DR STE 201, SAINT LOUIS, MO 63146-3209
(866) 433-9555
Mailing address
9620 YORKSHIRE ESTATES DR, SAINT LOUIS, MO 63126-1944
(314) 817-6487
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2018027180
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143373644
UNITED HEALTH CARE UHC UMR
MO
Enumeration date
08/01/2018
Last updated
08/01/2018
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