Individual
RENEE ANN EICKMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC
Contact information
Practice address
15834 CLAYTON RD, ELLISVILLE, MO 63011-2212
(636) 227-2339
Mailing address
414 WILDBRIER DR, BALLWIN, MO 63011-2624
(636) 227-9811
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
105039
MO
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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