MEDICARE: BY WORD AND DEED LLC

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

General Provider Information

NPI Number	:	1609432970
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BY WORD AND DEED LLC

Provider Business Mailing Address
First Line	:	1315 LAKE SAINT LOUIS BLVD
Second Line	:
City	:	LAKE SAINT LOUIS
State	:	MO
Zip	:	63367-1322
Country	:	US
Telephone Number	:	314-391-6750
Fax Number	:

Provider Business Practice Location Address
First Line	:	1315 LAKE SAINT LOUIS BLVD
Second Line	:
City	:	LAKE SAINT LOUIS
State	:	MO
Zip	:	63367-1322
Country	:	US
Telephone Number	:	314-391-6750
Fax Number	:

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST, OWNER
Name	:	MRS. MICHELLE R DIFRANCO
Credential	:	MS, CCC-SLP
Telephone Number	:	314-603-0209

Provider Enumeration Date	:	05/13/2019
Last Update Date	:	10/05/2020

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Directions to “BY WORD AND DEED LLC ” Practice Location

Language	Start Address	Practice Location

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