Individual
HALEY HANSEN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 BOONES LICK RD, SAINT CHARLES, MO 63301-2328
(636) 946-6140
Mailing address
7367 CORNELL AVE, SAINT LOUIS, MO 63130-2913
(601) 500-0947
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2020014586
MO
Other
Enumeration date
08/21/2021
Last updated
08/21/2021
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