Individual
BRADLEY HUESGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.,CCC-SLP
Contact information
Practice address
3500 OXFORD BLVD, SAINT LOUIS, MO 63143-4209
(636) 384-0015
Mailing address
3500 OXFORD BLVD, SAINT LOUIS, MO 63143-4209
(636) 384-0015
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2007016918
MO
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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