Individual
KATHLEEN LOUISE BOCKHOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
9514 BANYON TREE CT, SAINT LOUIS, MO 63126-2804
(314) 808-3888
Mailing address
9514 BANYON TREE CT, SAINT LOUIS, MO 63126-2804
(314) 808-3888
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2001029244
MO
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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