| NPI | 1700499282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE BEARDEN Speech Language Pathologist 314-797-3148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2026-03-03 |