Individual
MICHELLE P WECKBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 S. GRAND, DOOR 3, ST. LOUIS, MO 63104-6310
(314) 977-5110
(314) 977-7686
Mailing address
1008 S SPRING AVE STE 3300, SAINT LOUIS, MO 63110-2520
(314) 617-2500
(314) 617-3429
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2015026297
MO
235Z00000X
Speech-Language Pathologist
22124
CA
Other
Enumeration date
08/15/2014
Last updated
08/29/2023
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