Individual
MS. ANDREA RENEE GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
517 S EUCLID AVE, DEPT OTOLARYNGOLOGY, 8TH FL, SAINT LOUIS, MO 63110-1007
(314) 362-7245
(314) 362-7346
Mailing address
PO BOX 60352, SAINT LOUIS, MO 63160-0352
(314) 362-7245
(314) 362-7346
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2008008118
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
460013754
—
MO
Enumeration date
08/16/2006
Last updated
04/25/2024
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