Individual
MS. CRISTAL GORDON BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4240 DUNCAN AVE, DEPT PHYSICAL THERAPY, STE 120, SAINT LOUIS, MO 63110-1101
(314) 286-1940
(314) 286-1473
Mailing address
4444 FOREST PARK AVE, CB 8502, SAINT LOUIS, MO 63108-2212
(314) 286-1940
(314) 286-1473
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2002001247
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
465744126
—
MO
Enumeration date
04/30/2007
Last updated
11/15/2022
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