Provider Demographics
NPI:1275688673
Name:PEER, RICHI MICHELLE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:RICHI
Middle Name:MICHELLE
Last Name:PEER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:932 BENTLEY PARK CIR
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-8022
Mailing Address - Country:US
Mailing Address - Phone:636-300-0577
Mailing Address - Fax:
Practice Address - Street 1:932 BENTLEY PARK CIR
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-8022
Practice Address - Country:US
Practice Address - Phone:636-300-0577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO119735235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist