Healthcare Provider Details

I. General information

NPI: 1376278580
Provider Name (Legal Business Name): EMILY HARTMANN SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2022
Last Update Date: 05/29/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4240 DUNCAN AVE DEPT PHYSICAL THERAPY, STE 120
SAINT LOUIS MO
63110-1108
US

IV. Provider business mailing address

PO BOX 7412011
CHICAGO IL
60674-2011
US

V. Phone/Fax

Practice location:
  • Phone: 314-286-1940
  • Fax: 314-286-1473
Mailing address:
  • Phone: 314-286-1940
  • Fax: 314-286-1473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2025035304
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: