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NPI Code Detail

MEDICARE: MRS. MARILYN JEANNE KASTNER PAINTER MS CCC SLP

MEDICARE:  MRS. MARILYN JEANNE KASTNER PAINTER  MS CCC SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist107510MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134251390
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARILYN JEANNE KASTNER PAINTER MS CCC SLP
Provider Business Mailing Address
First Line : 11960 WESTLINE INDUSTRIAL DR
Second Line : SUITE 201
City : SAINT LOUIS
State : MO
Zip : 63146-3209
Country : US
Telephone Number : 314-439-1949
Fax Number : 866-938-9444
Provider Business Practice Location Address
First Line : 11960 WESTLINE INDUSTRIAL DR
Second Line : SUITE 201
City : SAINT LOUIS
State : MO
Zip : 63146-3209
Country : US
Telephone Number : 314-439-1949
Fax Number : 866-938-9444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 11/10/2016

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Directions to “ MRS. MARILYN JEANNE KASTNER PAINTER MS CCC SLP” Practice Location

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