Individual
MS. SARA ELIZABETH COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2 GATEWAY DR, SAINT LOUIS, MO 63106-2715
(314) 241-0993
Mailing address
801 N 11TH ST, SAINT LOUIS, MO 63101-1015
(314) 345-2653
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2006033800
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
464027804
—
MO
01
—
505165209
SLPS DISTRICT #
MO
Enumeration date
04/23/2008
Last updated
04/23/2008
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