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Corey Charles Bolen, MA CCC-SLP

NPI 1851519581ActiveIndividual· Speech-Language Pathologist· O Fallon, MO

Speech-Language Pathologist (MA CCC-SLP) in O Fallon, Missouri, licensed in MO, with an NPI issued in April 2007.

Overview

NPI1851519581
StatusActive
Entity typeIndividual
CredentialMA CCC-SLP
Sole proprietorNo
NPI issuedApr 20, 2007
Last updated in NPPESAug 28, 2023
Certified by providerAug 24, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000X2005002432MO
Speech-Language Pathologist235Z00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Speech-Language Pathologist providers in O Fallon

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