Individual
KENNAY LYDIA LORENE PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
16 GLORIA LN, SAINT PETERS, MO 63376-2156
(636) 699-3183
Mailing address
16 GLORIA LN, SAINT PETERS, MO 63376-2156
(636) 699-3183
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2022020189
MO
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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