Provider Demographics
NPI:1255694964
Name:RAPP, KATHERINE ARCHIBALD (AUD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:ARCHIBALD
Last Name:RAPP
Suffix:
Gender:F
Credentials:AUD
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Mailing Address - Street 1:670 MASON RIDGE CENTER DR
Mailing Address - Street 2:STE 300
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8573
Mailing Address - Country:US
Mailing Address - Phone:314-953-6093
Mailing Address - Fax:314-953-6094
Practice Address - Street 1:1225 GRAHAM RD
Practice Address - Street 2:C1340
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-8012
Practice Address - Country:US
Practice Address - Phone:314-953-6093
Practice Address - Fax:314-953-6094
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-18
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2012018821231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist