Individual provider · NPI-1

Carla Adderley

Speech-Language Pathologist, · Saint Louis, MO

NPI number1902196017
StatusActive
Last updated in NPPESSep 4, 2024

Details

NPI
1902196017
Entity type
Individual (NPI-1)
Name
Carla Adderley
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 10, 2011
Certification date
Sep 4, 2024
Last updated
Sep 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,114493MOYes

Practice location

1 Jefferson Barracks Dr
Saint Louis, MO 63125-4181

Phone 314-607-0165

Mailing address

3710 Sunerest Dr
Saint Louis, MO 63125-4241

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Other Speech-Language Pathologist, providers in Saint Louis, MO