Individual provider · NPI-1

Angela Rathweg Adrian, M.A., CCC-SLP

Speech-Language Pathologist, · Saint Louis, MO

NPI number1477698678
StatusActive
Last updated in NPPESFeb 6, 2013

Details

NPI
1477698678
Entity type
Individual (NPI-1)
Name
Mrs. Angela Rathweg Adrian
Credential
M.A., CCC-SLP
Sex
Female
Sole proprietor
No
Enumeration date
Feb 21, 2007
Last updated
Feb 6, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,119997MOYes

Practice location

4714 Vienna Ave
Saint Louis, MO 63109-2712

Phone 314-749-4270

Mailing address

4714 Vienna Ave
Saint Louis, MO 63109-2712

Phone 314-749-4270

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