Individual
ANN FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2109 GRAVOIS RD, HIGH RIDGE, MO 63049-2502
(636) 677-3577
Mailing address
23 CASTLE DR, FLORISSANT, MO 63034-1300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2022029706
MO
235Z00000X
Speech-Language Pathologist
Primary
SLP013504
GA
Other
Enumeration date
08/08/2022
Last updated
06/26/2025
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