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NPI Code Detail

MEDICARE: MRS. SUZANNE LOUISE SHARE LINDHORST MA, CCC-LSP

MEDICARE:  MRS. SUZANNE LOUISE SHARE LINDHORST  MA, CCC-LSP
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
1235Z00000XSpeech-Language Pathologist00967MO

General Provider Information

NPI Number : 1144228727
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUZANNE LOUISE SHARE LINDHORST MA, CCC-LSP
Provider Business Mailing Address
First Line : 14824 CLAYTON RD
Second Line : SUITE 23
City : CHESTERFIELD
State : MO
Zip : 63017-7888
Country : US
Telephone Number : 636-256-4858
Fax Number : 636-256-4858
Provider Business Practice Location Address
First Line : 14824 CLAYTON RD
Second Line : SUITE 23
City : CHESTERFIELD
State : MO
Zip : 63017-7888
Country : US
Telephone Number : 636-256-4858
Fax Number : 636-256-4858
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 07/09/2007

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Directions to “ MRS. SUZANNE LOUISE SHARE LINDHORST MA, CCC-LSP” Practice Location

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