Individual
HEATHER LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15834 CLAYTON RD, ELLISVILLE, MO 63011-2212
(636) 227-2339
(636) 227-8711
Mailing address
553 GREAT HILL DR, BALLWIN, MO 63021-6262
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
115606
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
461390700
—
MO
Enumeration date
01/29/2007
Last updated
07/08/2007
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