Individual
MS. SALLIE VANDERHOOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
4921 PARKVIEW PL, DEPT OTOLARYNGOLOGY, STE 11A, SAINT LOUIS, MO 63110-1032
(314) 362-7509
(314) 362-7522
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-7509
(314) 362-7522
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
111248
MO
235Z00000X
Speech-Language Pathologist
111248
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334854403
—
MO
Enumeration date
05/07/2007
Last updated
04/17/2025
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