MEDICARE: JOSEPH HERMAN WAGNER ST

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	235Z00000X	Speech-Language Pathologist	01668	MO

General Provider Information

NPI Number	:	1134322639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH HERMAN WAGNER ST

Provider Business Mailing Address
First Line	:	1223 WEATHERTON PL
Second Line	:
City	:	BALLWIN
State	:	MO
Zip	:	63021-7439
Country	:	US
Telephone Number	:	636-391-7643
Fax Number	:

Provider Business Practice Location Address
First Line	:	9445 LITZSINGER RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63144-2113
Country	:	US
Telephone Number	:	314-968-2350
Fax Number	:

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

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	07/09/2007

Similar Medicare Providers

1134244205 — RACHEL E NEUKIRCH MSW, LCSW
Practice Location Address:

9445 LITZSINGER RD
SAINT LOUIS, MO
63144-2113

Practice Phone: 314-968-2350
Practice Fax: 314-968-4239

1972629772 — KAREN NOLTE M.ED, LCSW
Practice Location Address:

9445 LITZSINGER RD
SAINT LOUIS, MO
63144-2113

Practice Phone: 314-968-2350
Practice Fax: 314-968-4239

1285752378 — THE CHILDREN'S HOME SOCIETY OF MISSOURI
Practice Location Address:

9445 LITZSINGER RD
SAINT LOUIS, MO
63144-2113

Practice Phone: 314-968-2350
Practice Fax: 314-968-4239

1912025081 — THE CHILDREN'S HOME OF MISSOURI
Practice Location Address:

9445 LITZSINGER RD
SAINT LOUIS, MO
63144-2113

Practice Phone: 314-968-2350
Practice Fax: 314-968-4239

1003922519 — DR. ERIC J AUBERT DMD
Practice Location Address:

4527 FOREST PARK AVE
SAINT LOUIS, MO
63108-2113

Practice Phone: 314-367-7200
Practice Fax: 314-367-0508

1558881649 — RYAN MCCORMICK
Practice Location Address:

4527 FOREST PARK AVE
SAINT LOUIS, MO
63108-2113

Practice Phone: 314-858-5750
Practice Fax:

Directions to “ JOSEPH HERMAN WAGNER ST” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.