| NPI | 1083612253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN L FOSTER President 314-842-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MO 000014833) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IL 207927) |
| 235Z00000X Speech-Language Pathologist, (Licence: MO 102623) | |
| 235Z00000X Speech-Language Pathologist, (Licence: IL 146004057) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2012-03-11 |