Healthcare Provider Details

I. General information

NPI: 1629954417
Provider Name (Legal Business Name): SARAH ELISE TINKEY SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2025
Last Update Date: 06/16/2026
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4320 FOREST PARK AVE DEPT OCCUPATIONAL THERAPY, STE 302
SAINT LOUIS MO
63108-2821
US

IV. Provider business mailing address

PO BOX 7412011
CHICAGO IL
60674-2011
US

V. Phone/Fax

Practice location:
  • Phone: 314-286-1669
  • Fax: 314-627-7219
Mailing address:
  • Phone: 314-286-1669
  • Fax: 314-627-7219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2025034534
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: