Tricore Speech Llc

NPI 1215273990 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1215273990
Enumeration Date 12/27/2012
Last Updated 12/27/2012
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ANDREA DENICE ANDREA
Position SPEECH LANGUAGE PATHOLOGIST/MANAGER
Phone (314) 660-1690
Fax (314) 389-4820
Practice Location
4491 BESSIE AVE
SAINT LOUIS MO, 63115-2707, US
Phone (314) 660-1690
Fax (314) 389-4820
Business Location
4491 BESSIE AVE
SAINT LOUIS MO, 63115-2707, US
Phone (314) 660-1690
Fax (314) 389-4820
Toxanomy
Taxonomy Code 235Z00000X
License State Missouri
License Number 112012
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According to our database, Tricore Speech Llc NPI is 1215273990, taxonomy code is 235Z00000X and license number is 112012, license state is located at Missouri. Tricore Speech Llc physically located at 4491 Bessie Ave, Saint Louis MO, 63115-2707. NPI Number 1033115704 has the healthcare provider type.

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1215273990 NPI number is provided on an as is basis without warranty of any kind. 1215273990 is maintained by the National Plan & Provider Enumeration System. The contents of Tricore Speech Llc are for informational purposes only.