Individual
LOGAN PATRICIA ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 ROSS AVE, SAINT LOUIS, MO 63146-3817
(573) 418-5730
Mailing address
1630 ROSS AVE, SAINT LOUIS, MO 63146-3817
(573) 418-5730
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2020016258
MO
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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