Marianna Burkemper
Individual provider Active NPI Speech-Language Pathologist · O'Fallon, MO
NPI 1043993892 · NPPES record last updated Aug 27, 2024
Key facts
- NPI
- 1043993892
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2023023137 (MO)
- Practice address
- 2621 State Hwy K
O'Fallon, MO 63368 - Phone
- (636) 978-4001
- NPI assigned
- Aug 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023023137 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2023023137 | MO | Yes |
Addresses
Primary practice location
2621 State Hwy K
O'Fallon, MO 63368
Mailing address
326 Chips LN
Old Monroe, MO 63369-2661
Phone (636) 542-2011
Other providers in O'Fallon, MO
- Sara Birkemeier
- Terry Michael Blake
- Jacob Scott Bleyer
- Michael Kenneth Brown
- Jill Buery
- Bess M Cain
- Cardinal Home Care LLC
- Shannon Michele Cline
- Julie Louise Crane
- Dardenne Dental Arts
All providers in O'Fallon, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.