Organization
CRISLIP SPEECH THERAPY, LLC
Active
Other names
Crislip Speech Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA LYNNE CRISLIP M.A. CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(314) 479-0306
Entity
Organization
Contact information
Practice address
710 ABBOTTSFORD CT, LAKE ST LOUIS, MO 63367-2553
(314) 479-0306
Mailing address
710 ABBOTTSFORD CT, LAKE ST LOUIS, MO 63367-2553
(314) 479-0306
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004010998
MO
Other
Enumeration date
03/17/2009
Last updated
06/02/2014
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