Most Relevant Information
Provider Data
| NPI Number: | 1003427147 |
| Provider Name: | COURTNEY HAKER |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 2020015752 |
Most Important Dates
| Enumeration Date: | 08/12/2020 |
| Last Updated: | 08/12/2020 |
Provider Practice Location
2555 HACKMANN RD
SAINT CHARLES
MO
633035452
Practice Location Phone/Fax
| Phone: | 6368514000 |
| Fax: |
Provider Mailing Location
4968 ITASKA ST
SAINT LOUIS
MO
631092911
Provider Mailing Phone/Fax
| Phone: | 5134619090 |
| Fax: |