Individual
MELISSA MARIE SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
641 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6713
(314) 872-3345
(314) 872-3180
Mailing address
641 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6713
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
117633
MO
Other
Enumeration date
02/12/2007
Last updated
05/11/2023
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