Organization
ST. JOSEPH INSTITUTE FOR THE DEAF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL LYNN BROEKELMANN (DIRECTOR OF OPERATIONS)
(636) 532-3211
Entity
Organization
Contact information
Practice address
1314 STRASSNER, BRENTWOOD, MO 63144
(636) 532-3211
(636) 532-4560
Mailing address
1314 STRASSNER, BRENTWOOD, MO 63144
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
MO
235Z00000X
Speech-Language Pathologist
—
MO
237600000X
Audiologist-Hearing Aid Fitter
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100408120A
—
KS
01
—
107551
BLUE CROSSBLUE SHIELD MO
MO
01
—
26919011
BLUECROSS BLUE SHIELD
KS
Enumeration date
06/19/2007
Last updated
05/24/2016
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