MARY ELLEN BOEDEKER
NPI 1366939548
Speech-Language Pathologist in Florissant, MO

Active since April 13, 2018
12555 PARTRIDGE RUN DR, FLORISSANT, MO 63033(314) 953-7600 Get Directions Write a Review

NPPES record last updated: April 13, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Ellen Boedeker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ELLEN BOEDEKER (NPI 1366939548) is an individual speech-language pathologist provider in Florissant, Missouri, licensed in Missouri (0383563) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1366939548
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARY ELLEN BOEDEKER
Location Address12555 PARTRIDGE RUN DRFlorissant, MO 63033-5015
Mailing Address15955 New Halls Ferry RdFlorissant, MO 63031-1298 · (314) 953-4991
Sole ProprietorNo
Enumeration DateApril 13, 2018
NPI 1366939548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in MO · 0383563
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

12555 PARTRIDGE RUN DR, Florissant, MO 63033

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
12555 PARTRIDGE RUN DR
FLORISSANT, MO 63033
Speech-Language Pathologist
12555 PARTRIDGE RUN DR
FLORISSANT, MO 63033
Local Education Agency (LEA)
12555 PARTRIDGE RUN DR
FLORISSANT, MO 63033
Speech-Language Pathologist
12555 PARTRIDGE RUN DR
FLORISSANT, MO 63033
Occupational Therapist
12555 PARTRIDGE RUN DR
FLORISSANT, MO 63033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Boedeker's NPI number?

The NPI number for Mary Boedeker is 1366939548. It was assigned to this individual provider in the NPPES registry on April 13, 2018.

Where is Mary Boedeker located?

Mary Boedeker practices at 12555 Partridge Run Dr, Florissant, MO 63033. The listed phone number is (314) 953-7600.

What is Mary Boedeker's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Mary Boedeker was last updated on April 13, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.