Individual
MS. MEGAN ELIZABETH RADDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1044 N MASON RD, STE L20, CREVE COEUR, MO 63141-6431
(314) 362-7509
(314) 362-7522
Mailing address
660 S EUCLID AVE, CB 8115, SAINT LOUIS, MO 63110-1010
(314) 362-7509
(314) 362-7522
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2015026476
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
460019947
—
MO
Enumeration date
02/12/2015
Last updated
11/15/2021
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