Organization
CHARLA DEITER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLA KAY DEITER M.S. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(620) 442-8700
Entity
Organization
Contact information
Practice address
7733 FORSYTH BLVD STE 1700, SAINT LOUIS, MO 63105-1801
(800) 677-1238
(314) 863-0769
Mailing address
1711 N 4TH ST, ARKANSAS CITY, KS 67005-1607
(620) 442-8700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2434
KS
Other
Enumeration date
07/26/2007
Last updated
07/27/2007
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