Individual
MRS. SUSAN ELAINE LEVASSEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17630 BRIDGEWAY DR, CHESTERFIELD, MO 63005-4217
(636) 577-7365
Mailing address
17630 BRIDGEWAY DR, CHESTERFIELD, MO 63005-4217
(636) 577-7365
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2010024115
MO
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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