Denise R Addis
Speech-Language Pathologist, in Saint Louis, MO. Individual provider (NPI-1).
NPI number1144795410
StatusActive
Last updated in NPPESOct 12, 2018
Details
- NPI
- 1144795410
- Entity type
- Individual (NPI-1)
- Name
- Denise R Addis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2018
- Last updated
- Oct 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 2017017863 | MO | Yes |
Practice location
12110 Clayton RdSaint Louis, MO 63131-2516
Phone 314-989-8100
Mailing address
5815 Mango DrSaint Louis, MO 63129-2243
Phone 314-239-8424
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