Provider Demographics
NPI:1114368214
Name:REHRER, KATHLEEN R (AUD)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:R
Last Name:REHRER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:KATHLEEN
Other - Middle Name:V
Other - Last Name:RAFAEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:3009 N BALLAS RD STE 380C
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-2324
Mailing Address - Country:US
Mailing Address - Phone:314-996-4790
Mailing Address - Fax:314-996-4792
Practice Address - Street 1:3009 N BALLAS RD STE 380C
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-2324
Practice Address - Country:US
Practice Address - Phone:314-996-4790
Practice Address - Fax:314-996-4792
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1676231H00000X
TX80687231H00000X
MO2019047149231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist