Individual
SHIREEN KINZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
496 MANORCREST LN, BALLWIN, MO 63011-3431
(636) 420-0247
Mailing address
496 MANORCREST LN, BALLWIN, MO 63011-3431
(636) 420-0247
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2006016361
MO
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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