Individual
AMY LIDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA/CCC-SLP
Contact information
Practice address
801 N 11TH ST, SAINT LOUIS, MO 63101-1015
(314) 241-2308
Mailing address
PO BOX 58, CHESTERFIELD, MO 63006-0058
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004029824
MO
Other
Enumeration date
04/13/2008
Last updated
04/13/2008
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