Healthcare Provider Details

I. General information

NPI: 1891600433
Provider Name (Legal Business Name): CLAUDIA RACHEL WALCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 ROYAL HEIGHTS RD
BELLEVILLE IL
62226-5798
US

IV. Provider business mailing address

14500 SINKS RD
FLORISSANT MO
63034-1721
US

V. Phone/Fax

Practice location:
  • Phone: 618-234-8200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number242.018591
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: