Provider Demographics
NPI:1174585574
Name:JUELICH, MARGARET FRITSCH (AUD CCC-A)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:FRITSCH
Last Name:JUELICH
Suffix:
Gender:F
Credentials:AUD CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16219 BAXTER RD.
Mailing Address - Street 2:ASSOCIATED HEARING PROFESSIONALS
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-5065
Mailing Address - Country:US
Mailing Address - Phone:636-778-9232
Mailing Address - Fax:636-778-9236
Practice Address - Street 1:16219 BAXTER RD
Practice Address - Street 2:ASSOCIATED HEARING PROFESSIONALS
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-4777
Practice Address - Country:US
Practice Address - Phone:636-778-9232
Practice Address - Fax:636-778-9236
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO918231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOP00118033Medicare ID - Type UnspecifiedRAILROAD MEDICARE PART B
MO000024853Medicare ID - Type UnspecifiedCPIN