Individual
SUSAN A. MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
10094 LITZSINGER RD, SAINT LOUIS, MO 63124-1132
(636) 391-9622
(636) 391-9236
Mailing address
15825 MANCHESTER RD, SUITE 209, ELLISVILLE, MO 63011-2263
(636) 391-9622
(636) 391-9236
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
00833
MO
237700000X
Hearing Instrument Specialist
001124
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333488211
—
MO
Enumeration date
07/02/2007
Last updated
02/24/2015
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