Individual
KATHERINE BOURGERIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16216 BAXTER RD STE 330, CHESTERFIELD, MO 63017-4778
(636) 733-3330
(636) 733-3332
Mailing address
5800 HIGHLANDS PLAZA DR APT 147, SAINT LOUIS, MO 63110-1358
(317) 509-4754
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2019018670
MO
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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