MEDICARE: MS. MONICA MARIE DOERR M.S.

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	2011019037	MO

General Provider Information

NPI Number	:	1235418815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MONICA MARIE DOERR M.S.

Provider Business Mailing Address
First Line	:	4545 CENTRAL SCHOOL RD
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63304-7113
Country	:	US
Telephone Number	:	636-851-5200
Fax Number	:	636-851-4131

Provider Business Practice Location Address
First Line	:	2501 HACKMANN RD
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63303-5452
Country	:	US
Telephone Number	:	636-851-5200
Fax Number	:	636-851-4131

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

Provider Enumeration Date	:	08/12/2011
Last Update Date	:	08/12/2011

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Directions to “ MS. MONICA MARIE DOERR M.S.” Practice Location

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