Individual
LISA CAROLYN HOSELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCC-SLP
Contact information
Practice address
2232 HUNN RD, FORISTELL, MO 63348-2650
(314) 706-2583
Mailing address
2232 HUNN RD, FORISTELL, MO 63348-2650
(314) 706-2583
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
01207
MO
235Z00000X
Speech-Language Pathologist
Primary
01207
MO
235Z00000X
Speech-Language Pathologist
146.001378
IL
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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