| NPI | 1730324385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN A PENTECOST Patient Care Coordinator 636-778-9232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 00918) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2025-11-06 |