| NPI | 1811390388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY L MORIARTY Speech Pathologist 314-620-4616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO .0000517) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |