Provider Demographics
NPI:1134987209
Name:HOEVEL, KATIE ANNE (MA, CCC)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:ANNE
Last Name:HOEVEL
Suffix:
Gender:F
Credentials:MA, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5715 GREY DOVE PL
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-3779
Mailing Address - Country:US
Mailing Address - Phone:314-750-0583
Mailing Address - Fax:
Practice Address - Street 1:623 BUCKLEY RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63125-5304
Practice Address - Country:US
Practice Address - Phone:314-467-6999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist