MEDICARE: MAUREEN ALFERMANN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	2011001428	MO

General Provider Information

NPI Number	:	1740723634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN ALFERMANN

Provider Business Mailing Address
First Line	:	7241 PRINCETON AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63130-3028
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7241 PRINCETON AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63130-3028
Country	:	US
Telephone Number	:	314-210-2255
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2016
Last Update Date	:	11/23/2016

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Directions to “ MAUREEN ALFERMANN ” Practice Location

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