Individual
SUSAN WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5319 LANSDOWNE AVE, SAINT LOUIS, MO 63109-2311
(314) 352-4343
Mailing address
11960 WESTLINE INDUSTRIAL DR, SUITE 201, SAINT LOUIS, MO 63146-3209
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146013190
IL
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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