Healthcare Provider Details

I. General information

NPI: 1760620272
Provider Name (Legal Business Name): A TO Z THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2009
Last Update Date: 01/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5841 JULIAN AVE
SAINT LOUIS MO
63112-2503
US

IV. Provider business mailing address

PO BOX 8172
SAINT LOUIS MO
63156-8172
US

V. Phone/Fax

Practice location:
  • Phone: 314-749-3826
  • Fax:
Mailing address:
  • Phone: 314-749-3826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: RASHEEDAH FURQAN
Title or Position: PROFESSIONAL DIRECTOR
Credential: MA, CCC-SLP/L
Phone: 314-749-3826