Most Relevant Information
Provider Data
| NPI Number: | 1003450529 |
| Provider Name: | LEAH MOEHLENBROCK |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 2019024082 |
Most Important Dates
| Enumeration Date: | 10/29/2019 |
| Last Updated: | 10/29/2019 |
Provider Practice Location
12110 CLAYTON RD
SAINT LOUIS
MO
631312516
Practice Location Phone/Fax
| Phone: | 3149898150 |
| Fax: |
Provider Mailing Location
12110 CLAYTON RD
SAINT LOUIS
MO
631312516
Provider Mailing Phone/Fax
| Phone: | 3149898150 |
| Fax: |