MEDICARE: ANNIE HARSTON-FLIER SLPA

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	2355S0801X	Speech-Language Assistant	2025038019	MO

General Provider Information

NPI Number	:	1386508505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNIE HARSTON-FLIER SLPA

Provider Business Mailing Address
First Line	:	2002 PLAZA CT APT 20
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63303-2720
Country	:	US
Telephone Number	:	410-321-4267
Fax Number	:

Provider Business Practice Location Address
First Line	:	1220 N 10TH ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63106-4636
Country	:	US
Telephone Number	:	314-231-7284
Fax Number	:

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

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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