Individual
JILL AUCHLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1 CAMPUS DR, WENTZVILLE, MO 63385-3415
(636) 327-3800
(636) 327-8611
Mailing address
13 PRAIRIE CROSSING DR, SAINT PAUL, MO 63366-4634
(314) 605-3830
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2013028765
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942334289
—
MO
Enumeration date
01/31/2014
Last updated
01/31/2014
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