Individual
MRS. KIMBERLY GALE HUFSTEDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
9835 MANCHESTER RD, SAINT LOUIS, MO 63119-1243
(314) 968-4710
Mailing address
9835 MANCHESTER RD, SAINT LOUIS, MO 63119-1243
(314) 968-4710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
115094
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M463490607
—
MO
Enumeration date
03/29/2012
Last updated
03/29/2012
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