Michele Katlyn Basler, SLP
Individual provider Active NPI Speech-Language Pathologist · Arnold, MO
NPI 1629405014 · NPPES record last updated Oct 1, 2013
Key facts
- NPI
- 1629405014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2013033647 (MO)
- Practice address
- 3488 Jeffco Blvd Ste 102
Arnold, MO 63010-6015 - Phone
- (636) 464-5439
- Fax
- (636) 464-5438
- NPI assigned
- Oct 1, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 2013033647 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2013033647 | MO | Yes |
Addresses
Primary practice location
3488 Jeffco Blvd Ste 102
Arnold, MO 63010-6015
Mailing address
3488 Jeffco Blvd Ste 102
Arnold, MO 63010-6015
Other providers in Arnold, MO
- Sara Elizabeth Barker
- Joseph Barnard
- Kenneth A Barrett
- Breland Basler
- Clarice Basler
- Caleb Aaron Bass
- Adam J Battaglia
- Erica Bauer
- Madalyn Baugh
- Jacquelyn Baxley
All providers in Arnold, 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 Oct 1, 2013. 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.