Individual
ASHLEY VINEYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6259 DELOR ST, SAINT LOUIS, MO 63109-3125
(314) 853-9516
Mailing address
6259 DELOR ST, SAINT LOUIS, MO 63109-3125
(314) 853-9516
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2013040019
MO
Other
Enumeration date
08/25/2014
Last updated
02/06/2020
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