| NPI | 1497241988 |
|---|---|
| Other Name | SPEECH SPARK SLP |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH J LIAN Owner/President 314-690-8521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2017016066) |
| Enumeration Date | 2018-07-08 |
| Last Update Date | 2018-07-31 |