Organization
ST. LOUIS CHARTER SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE RICHTER (HEAD OF SPECIAL EDUCATION)
(314) 645-9600
Entity
Organization
Contact information
Practice address
5279 FYLER AVE, SAINT LOUIS, MO 63139-1300
(314) 645-9600
Mailing address
5279 FYLER AVE, SAINT LOUIS, MO 63139-1300
(314) 645-9600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2013023331
MO
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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