Individual
MRS. ANGELA CARTER DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 ALLEN AVE, SAINT LOUIS, MO 63104-2629
(314) 771-0010
Mailing address
2050 ALLEN AVE, SAINT LOUIS, MO 63104-2629
(314) 771-0010
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SLPS
—
MO
Enumeration date
09/09/2010
Last updated
09/09/2010
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