Individual
MISS ALLISON DENISE EASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
4221 SHAW BLVD, SAINT LOUIS, MO 63110-3526
(314) 772-0994
(314) 865-3759
Mailing address
442 E FAIRVIEW LN, NASHVILLE, IL 62263-2014
(618) 201-0356
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2007032047
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2007032047
—
MO
Enumeration date
10/29/2007
Last updated
10/29/2007
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