Organization
CENTRAL INSTITUTE FOR THE DEAF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODI L LARSON (ACCOUNTANT)
(314) 977-0227
Entity
Organization
Contact information
Practice address
825 S TAYLOR AVE, SAINT LOUIS, MO 63110-1567
(314) 977-0132
(314) 977-0023
Mailing address
825 S TAYLOR AVE, SAINT LOUIS, MO 63110-1567
(314) 977-0227
(314) 977-0023
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
231HA2500X
Assistive Technology Supplier Audiologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507584001
—
MO
Enumeration date
01/25/2007
Last updated
09/15/2022
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