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NPI 1992336028

NPI 1992336028 : KACEY SNEED : SAINT PETERS, MO

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General NPI Number Information
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    NPI Number           |    1992336028
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    Entity Type          |    Individual 
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    Provider Name        |    KACEY SNEED
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/28/2020
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    Last Update Date     |    07/10/2025
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Provider Practice Location Address
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    Address Line         |    744 ESTES PARK DR 
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    City                 |    SAINT PETERS
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    State                |    MO
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    Zip                  |    63376-2089
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    Country              |    US
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    Telephone            |    702-683-8885
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    744 ESTES PARK DR 
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    City                 |    SAINT PETERS
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    State                |    MO
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    Zip                  |    63376-2089
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    Country              |    US
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    Telephone            |    702-683-8885
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    15225
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    035545
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    2021043518
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    License Number State |    MO
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Taxonomy #4
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    31453
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    License Number State |    CA
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