Individual provider · NPI-1
Cassidy Adams, CFY-SLP
Speech-Language Pathologist, · Saint Louis, MO
NPI number1700490406
StatusActive
Last updated in NPPESSep 1, 2020
Details
- NPI
- 1700490406
- Entity type
- Individual (NPI-1)
- Name
- Cassidy Adams
- Credential
- CFY-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2020
- Certification date
- Sep 1, 2020
- Last updated
- Sep 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 2020022070 | MO | Yes |
Practice location
12110 Clayton RdSaint Louis, MO 63131-2599
Phone 314-989-8100
Mailing address
12110 Clayton RdSaint Louis, MO 63131-2599
Phone 314-989-8100
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