Individual
JOYCE DIANE VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3740 MARINE AVE, SAINT LOUIS, MO 63118-4175
(314) 533-0975
Mailing address
821 WESTGATE AVE APT 3N, UNIVERSITY CITY, MO 63130-3412
(314) 651-4307
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2017027613
MO
Other
Enumeration date
01/29/2018
Last updated
10/22/2020
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