# GREENTREE AUDIOLOGY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861743692
- **Authorized official:** RUSSELL W PICKETT AUD,CCC-A/FAAA (AUDIOLOGIST, OWNER)
- **Authorized official phone:** (314) 835-9996

## Contact information

- **Practice address:** 10900 MANCHESTER RD, STE 202, KIRKWOOD, MO 63122-1200
- **Practice address phone:** (314) 835-9996
- **Practice address fax:** (314) 835-9992
- **Mailing address:** 10900 MANCHESTER RD, STE 202, KIRKWOOD, MO 63122-1200
- **Mailing address phone:** (314) 835-9996
- **Mailing address fax:** (314) 835-9992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/19/2012
- **Last updated:** 09/19/2012