Individual
MS. HEATHER MICHELLE EBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SLP
Contact information
Practice address
40 N 64TH ST, BELLEVILLE, IL 62223-3808
(618) 397-8400
Mailing address
4917 RINGER RD, SAINT LOUIS, MO 63129-1750
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.002253
IL
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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