Individual
TERI GAFFNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6790 TELEGRAPH RD, SAINT LOUIS, MO 63129-5341
(314) 313-0402
Mailing address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
171052
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171052
—
MO
Enumeration date
03/07/2018
Last updated
03/07/2018
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