Individual
AMY LEE SHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1119 MISSISSIPPI AVE APT 325, SAINT LOUIS, MO 63104-2454
(314) 607-0302
(888) 893-5180
Mailing address
1119 MISSISSIPPI AVE APT 325, SAINT LOUIS, MO 63104-2454
(314) 607-0302
(888) 893-5180
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146014369
IL
235Z00000X
Speech-Language Pathologist
2018036001
MO
Other
Enumeration date
08/17/2017
Last updated
05/20/2019
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