| NPI | 1144168568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISSA WATERS Speech Language Pathologist 314-496-9243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-03-24 |
| Last Update Date | 2026-03-24 |