Individual
MALLORY GEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
7733 FORSYTH BLVD, SUITE 2300, SAINT LOUIS, MO 63105-1817
(800) 677-1238
Mailing address
7733 FORSYTH BLVD, SUITE 2300, SAINT LOUIS, MO 63105-1817
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2009020444
MO
Other
Enumeration date
08/14/2009
Last updated
08/14/2009
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