Healthcare Provider Details

I. General information

NPI: 1609707918
Provider Name (Legal Business Name): ALICIA RUTH STRONG SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1404 TRIAD CENTER DR
SAINT PETERS MO
63376-7351
US

IV. Provider business mailing address

1404 TRIAD CENTER DR
SAINT PETERS MO
63376-7351
US

V. Phone/Fax

Practice location:
  • Phone: 314-254-2188
  • Fax:
Mailing address:
  • Phone: 314-254-2188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2026021859
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: