Individual
MISS ERICA DIANE HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC/SLP
Contact information
Practice address
11160 VILLAGE NORTH DR, SAINT LOUIS, MO 63136-6159
(314) 355-8010
Mailing address
3 HUNTINGTON PLACE DR, GLEN CARBON, IL 62034-3050
(217) 972-7027
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146.009550
IL
235Z00000X
Speech-Language Pathologist
Primary
2012040944
MO
Other
Enumeration date
08/20/2008
Last updated
01/13/2016
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