Individual
MRS. JAMIE EISENBEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS, CCC-SLP
Contact information
Practice address
3115 S GRAND BLVD STE 224, SAINT LOUIS, MO 63118-1047
(314) 312-2357
Mailing address
6038 HANCOCK AVE, SAINT LOUIS, MO 63139-1920
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2017030048
MO
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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