Individual
REBECCA A. MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1809 CLARKSON RD, CHESTERFIELD, MO 63017-5065
(636) 532-3211
Mailing address
6223 SOUTHWOOD AVE, #1N., SAINT LOUIS, MO 63105-3255
(314) 726-4681
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100164
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100164
MISSOURI LICENSE
MS
Enumeration date
02/26/2007
Last updated
07/08/2007
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