Healthcare Provider Details

I. General information

NPI: 1407942527
Provider Name (Legal Business Name): CENTER FOR HEARING & SPEECH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 12/18/2022
Certification Date: 12/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9835 MANCHESTER RD
SAINT LOUIS MO
63119-1243
US

IV. Provider business mailing address

9835 MANCHESTER RD
SAINT LOUIS MO
63119-1243
US

V. Phone/Fax

Practice location:
  • Phone: 314-968-4710
  • Fax: 314-968-4762
Mailing address:
  • Phone: 314-968-4710
  • Fax: 314-968-4762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: CATHY BROWN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 314-968-4710