MEDICARE: MARIAH ROSE SINDEL SLPA

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
1	2355S0801X	Speech-Language Assistant	2026023024	MO

General Provider Information

NPI Number	:	1437083680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIAH ROSE SINDEL SLPA

Provider Business Mailing Address
First Line	:	12990 KINGS CANYON DR APT B
Second Line	:
City	:	MARYLAND HEIGHTS
State	:	MO
Zip	:	63043-4528
Country	:	US
Telephone Number	:	321-339-9825
Fax Number	:

Provider Business Practice Location Address
First Line	:	12990 KINGS CANYON DR APT B
Second Line	:
City	:	MARYLAND HEIGHTS
State	:	MO
Zip	:	63043-4528
Country	:	US
Telephone Number	:	321-339-9825
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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