Individual
MRS. MARILYN JEANNE KASTNER PAINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
11960 WESTLINE INDUSTRIAL DR, SUITE 201, SAINT LOUIS, MO 63146-3209
(314) 439-1949
(866) 938-9444
Mailing address
11960 WESTLINE INDUSTRIAL DR, SUITE 201, SAINT LOUIS, MO 63146-3209
(314) 439-1949
(866) 938-9444
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
107510
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
465410504
—
MO
Enumeration date
03/12/2007
Last updated
11/10/2016
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