| NPI | 1568667665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL LYNN BROEKELMANN Director Of Operations 636-532-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 237600000X Audiologist-Hearing Aid Fitter | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2016-05-24 |