DENNIS PAUL FULLER

ST LOUIS, MO
NPI1982665675
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  00071)
Enumeration Date2006-03-31
Last Update Date2008-01-09
Business Address
-- DENNIS PAUL FULLER PhD CCC SLP
3660 VISTA
ST LOUIS, MO 63110
Phone number: 314-977-5110
Mailing Address
-- DENNIS PAUL FULLER PhD CCC SLP
3691 RUTGER AVE PROVIDER ENROLLMENT
ST LOUIS, MO 63110
Phone number: 314-977-4440
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